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HomeMy WebLinkAbout042-300-003CODE ENFORCENJUNT LETTEt 30 DAY: d / qa 42-30-03 736-90E oleo " FOSTER, Lyle 3548 -Hwy 32, -Chico y , (elec sery/pump house) 042-30-0-003 93-2975 B S *�3-2976 B CAMUSI, MARY 3550 HWY 32, CHICO (rebuild ex deck &? pa7/te/t/4mg)d (*rebuild ex deck & rep termite dmgjdup ------` 042-300-003 PERMIT#94-1715 CAMUSI, MARY 3548 HWY 32, CHICO CONT: VINTAGE HOME REPAIR REPLACE EXIST WTRHTR/DUPLEX - - r -;-,— - —_ _ _ : - .._ _._ ---- - _ - 042-300-003 PERMIT##94-2885 CAMUSI, MARY .3548 HWY 32,:' CHICO CONT: VINTAGE -HOME REPAIR 1ST..RENEWAL BP#93-2976 042-300-003 PERMIT#94-2886 CAMUSI, MARY: �i/��►'_ " 3548 HWY. 32, 'CHICO ' I CONT:' VINTAGE HOME REPAIR Q IST RENEWAL BP#9372975 9G 042-300-003 01-0345 . DUBIL, JOHN 3548 / 3550 HWY 32 CHICO CONTR: OWNER INSTALLATION WALL FURNACE R`SPTTT�FORIDUPLEXFA'�S B 042=300-003 DUBIL JOHN 3550 HWY 32 A & B CHICON' OWNER+ 'DRY ROT REPAIR; WATER HEATER (2) � WATER IvIISC 042-300-003 03-2344 BOSCH, DAN 3550 HWY 32, CHICO f�NALEDCont: G & R ROOFING -03 RE -ROOF 042-300-003 03-2345 BOSCH, DAN 3548 HWY 32, CHICO Cont: G & R ROOFING C�NJOED RE -ROOF r p.,0 L i' . ,• r- - � �--1=�--- �� I RESIDE"NTIAL 042-30-0-003���AR CAMUSI, MARY - j,51,6455t—HWY 32, CHICO (rebuild ex deck & repair termite dmgjdu y JOB FINALED (Data) 'Signature falS 'L 16-1 V=OK O = Not OK Not = Not Readyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" Vft. / /"Net. or/ 1V ft./ /"LPG 7. Well Clearance & Disconnect & Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS #'s Z17, jt ) 1ZWng.Requirements-Setbacks-Easements 1a( n t i-. ! X Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg.-ft.Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Mein; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors. 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16, Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nasi Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / : ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Purl in -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer %(Lt',NL_ §eStucco Mesh -Drip Screed -Fd. Vents-Underflr. Access \6-k2 57. Glazing Area -Glass Protection -Skylights -Plastic Urw 58. Shear Wells; Nailing -Bolts -, 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows 71Z- / c I Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comrrwnts at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION'AND PERMIT ASSESSOR PARCEL NUMBER 042-300-003 ZONING C1 BUILDING PERMIT OWNER MARY CAMUST TELEPHONE SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6968 WALL IN, PARADISE 99Q69 1ST RENEWAL CONTRACTOR'S NAME VINTAGE HOME REPAIR TELEPHONE RQ6_ 1779 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee (Gil FEE $ 9.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 35 2 CHICO PERMIT FEE $ 29.50 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex X3Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ClUtilities ❑ Installation ❑ Other Ck Describe Work: R1910110 1ST RENEWAL/93-2975 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service { '2* 0V OR LESS ) 20OA OR LESS 23.00 %I � 1 Main Service { 200A To 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. { 8 ACC. OLDS. ) S0. 3.50 �. CONTRACTORS LICENSE LAW( I declare under penalty , perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code y license is in full force�gnd effect. License No. Classification L� O I, as the owner, or my emp ogees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) 8 SINGLE OUTLET CIA. Ex. Occup. { OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occu FI%ED APPINS. OR p' { OUTLETS IRESID.) A. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under/penalty of perjury (check one): ❑ This perm�lt is for $ 100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize sentatives of the County of Butte to enter upon the abo mentioned prop or ins ction purposes. I aanav nify a ke harmI ss the County of Butte against all liabe s, osts, d e pens whic may in any way accrue against said Couq a ce Of the r ming this ermit. X Date—LO)A r gplicant - ❑ Owner ❑ Contractor ❑ Agent A /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 $ ocC CONST. TYPE TOTAL FEE $ HAZ- D. FEES IMP FLOOD CDF PARCEL PD HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate a for which have been paid. Jill ,^ BY i' � Date PERMIT EXPIRES ON 9-24-95 (Oe rel Receipt No. 17030 2 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES DING DIVISION 7 County Center Drive - Oroville, Califgrnia 95965 - Telepho ( 16) 538-754 .j a PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-300-003 ZONING C-1 BUILDING PERMIT MARY CAPPI[JSI TELEPHONE SQ. FT. OCC. BUILDING VALUATION 96 672 OWNER'S MAILING ADDRESS 6268 WALL LN PARADISE 95969 CONTRACTOR'S NAME VINTAGE HOME REPAIR TELEPHONE CONTRACTOR'SMAILINGADD11O9 W. L•INDO AVE CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 19.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3548 Ha PERMIT FEE $ 62.00 CHICO PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF El Duplex Mobilehome 1:1 Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describework: REBUILD DECK (EXIS. PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 REPAIR TERMITE DAMAGE 600V OR LESS Main Service( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. OLDS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW I Ware under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C . and I cense is in full forc d effect. License No. Classification ❑ I, as the owner, or my employees with wages as eir sole compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.50 Ex. Occu FIXED APPLNS. OR Occup. ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. harmless the County of Butte against all I also agree to av nifao ainst said County in seq nce of th this permit. liabilities, jud e S costs, nwhich may in anyWand X DateThis Sig ture of Applicant - ❑ Owner Contractor ❑ Agenof An OSHA permit is required for excavations over 5"0"olition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ 62.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE t'`' permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS /{ Date PERMIT EXPIRES ON /Dere/ Receipt No. WHITE-D.D.S.-B. ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M �,...y_,•.-.-iYtir''/�wS-w.r►,"'l+r+-..^iv.••�,::�'L�'^1..''N.. ,y: l.n :.i+'a"L�...f�, � 'M1.: Y .. �r1?]*�t ae y.`:/'+4'. ,.:.r t -� v COUNTYOF BUTTE - DEPARTMENTOF DE^VELOPMENTSE WJESS BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORN,EA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER /� �{'� 7� C�/� fJS % A. P. No. -ZN22 -30 o Proposed Building Use 4�Fh,[� ( {2 /0rL_ /L Building Inspector Date r At time ofperm' -application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted . ........................................ 2. PI t I 3/4 td b f I 3. .4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 22. 23. 24. 25. 26. 27. 28. 29. 30. r 31. 32. 33. W p ans, se s, slgne .. y preparer o p ans. .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $....................................... . Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year floo by Californi _ n in.ee�er. ................ . Sanitation and plot plan approval �ttPartment. ............ City of Chico plumbing permit . ........................................ . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). .. . . Ppe re-Insction requeis-- Pre -inspection for required. .. to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner-Builder'Verification (Given to owner , Mail to owner . .......... . Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . .................................. I....... Documentation of legal access . ..................... :................... Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan rhark li-d 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at j efi er with inspector. Other Parcel Creation Acreage Applicant _ Date C1171 /3 Copy of Haz-Mat form sent Health Dept. Fire Dept. � Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date. Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by / n � 4&-/ Date q✓N7y Sets of plans oR► Ik @W' File-eabiRat- ^f o'dr Copy - Department of Public Works Butte CountyDepar&nent ofDevelopmentServices ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile August 14, 2003 Dan Boch PO Box 322 Chico, CA 95927-0322 RE: Formal Warning Notice Substandard Housing Location 3548 Hwy 32, Chico, CA AP#042=300=003 Dear Dan Boch: This department has received a complaint alleging health and/or safety hazards at the above -referenced property. Butte County Assessor's records indicate that you own or control the property. On June 27, 2003, an inspection was made regarding the complaint and the following conditions were observed which are in violation of the California Health and Safety Code, Section 17920.3 (d), (g) 1; which pose health and safety hazards to the occupants and render the dwelling substandard. Any building or portion thereof including any dwelling unit, guest room or suite of rooms, or the premises on which the same is located, in which there exists any of the following listed conditions to an extent that endangers the life, limb, health, property, safety, or welfare of the public or the occupants thereof shall be deemed and hereby is declared to be a substandard building: 1. 'Replace all missing receptacles and switch plates and remove all open splices in electrical panel. 2. Repair all crumbling and loose plaster on interior ceilings and repair or replace leaking roof. At the time the above -referenced property becomes vacant, it shall not be occupied until all violations are corrected. This is your final warninn . 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. 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 will include a description of the premises the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Dan Boch AP#042-300-003 August 14, 2003 Page 2 Furthermore, failure to comply will result in the Franchise Tax Board being notified of your non- compliance. You will then be prevented from claiming state tax deductions for taxes, depreciation, amortization, or interest expenses connected with the property as long as it remains substandard. This notice is given to you pursuant to Section 24436.5 of the California Revenue and Taxation Code. To comply with the California Health and Safety Code, Section 17920.3 (b) 8,9; (h) 1; you must obtain all required permits for repairs from the Butte County Department of Development Services, Building Division, 7 County Center Drive, Oroville, California. Should you have any questions concerning this matter, please contact me at (530) 538-7601 Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Gary Brown Lead Code Enforcement Officer GB:aam cc: Department of Development Services, Code Enforcement 0142-300-003. V03-2344 BOSCH,.PAN 3550 HW - Y 32, CHICO Cont: G & R ROOFING RE -ROOF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI ING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (53 538-7541 ,PERMIT ZO1 (Rev. 12/96) APPLICATION AND PERMIT �"' LP11 ASSESSOR PARCEL NUMBER 1 042-300-00 2 ZONING BUILDING PERMIT OWNER DAN WRCH TELEPHONE ]4 SO. Fr, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS _15"Ill WV '49 CHICO CA v• QS 97-3 12 SQ 720.00 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS 9587 NQRD AVE CHICO CA 95972 CONSTRUCTION LENDER , LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 720.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 21.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUND ADDRESS ,i3� WY 32 111ILMW CA 95973 Energy Plan Checking Fee $ $ PERMIT FEE S 41.00 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 ❑ Over ❑ Describe Work: 12 Sq., cokm CO replace with ggritin _ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o.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 full force and effect. License Class �� / / Lic. No. r �- OWNER -BUILDER DECLARATION I 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 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. 0 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', cornpensation insurance cg�rier and policy number are: Carrier N- --1 / �1 f* -f /l --J Policy Number `' - 6 1 /74 C S� L ( (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. X _J// ; < <—; . _ Date i5Li Signature of Applicant - ❑ Owner 0"Contractor ❑ Ager An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. owELLxaG OCCUP. OR ADDNS. ( a ACC. BLOC. sD 3.5QFT: =R.IMULTI-OUTLET 97,50 POWER APPARATUS S SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES 20 .00 BAL O I. 0 Ex. Occup. Xi7'. PP EA_ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 $ 41.00 HA2. I D. FEES IMP I FLOOD I CDF PARCEL I PD HO 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 „! '%%/ / r . / L/ Date f: KA,: Z. r-, PERMIT EXPIRES ON �� (, J Data Receipt No. X .1 n t ./�) WHITE-D.D.S.-BD CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION i' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 RMIT o (Rev. 12/96) APPLICATION ANDPERMIT - ��'4 ASSESSOR PARCEL NUMBER 042-300-003 ZONING BUILDING PERMIT OWNER '- WN TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAIUNG ADDRESS 3550 LR,1Y 32 CHICO CAo CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS 2587 NMD AVE CHIGO CA 95973 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 720,00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 21.00 ARCHITECT OR ENGINEERS MA UNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3550 HWY 32 CHICO CA 95973 Energy Plan Checking Fee $ $ PERMIT FEE $ IAT 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 ❑ Other ❑ Describe Work: 12 SCS. COti.CR>J t0 replace with COmm? Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ". AOR'SS 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. �y License Class �� Lic. No. r �y OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License 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. ❑ 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 Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP, OR ADDNS. ( a ACC. BUDS. SO 3.5¢FT, NOµHOESIIDDT CIRMULTI.OUCUT POWER APPARATUS a SINGLE oun�T cIR. Ex. Occup. OUTLET OR FDTn1RESI VBAL Ex. Occu . pUT�7g Ra p,p�Law Tem orar Service Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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. p/fhave 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. e workers' ns 'on i surance c rier and policy number are: Carrier Policy Numbe — (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 works s' compensation provisions of section 3700 of the Labor Code, I shall th comply with those provisions. X Dater— ziure SigApplicant - ❑ Owner ontractor ❑ Agenf- An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 41.00 HAZ. p, FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have B PERMIT EXPIRES ON _ the applicable provisions Resolutions to do work been paid. Date/� ~(l Date Receipt No. r WHITE-DDS.-B7U7 S SSOR PINK -INSPECTOR GOLDENROD -APPLICANT • m I a 642-300-003 BQSCH,DAN 3548 1H ­WY 32, CHICO Cont:GI & R ROOFING . I RE -ROOF ti 03-2345 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI DING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (53 ) 538-7541,,: _PERI*1 NO. (Rev. 12/96) APPLICATION AND PERMIT ` --� ­� 744� r _ ASSESSOR PARCEL NUMBER 1113 ZONING ILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3548 HWY 32, Chico ca 12 SQ. 720.00 CONTRAACTOR'S NAME OC TELEPHONE CONTRACTORS MAILING ADDRESS 2587 MT(Y) CA c)597_1 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 720. WARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 21.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3548 MY CHIC0 CA Energy Plan Checking Fee $ -12, $ PERMIT FEE $ 41.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling 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 ❑ Other ❑ Describe Work: 12SQ, COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class � 7,39/3 Lic. No. � �,. OWNER -BUILDER DECLARATION 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 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. 13-1F ave 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'ompensa on insurerce carrier and policy number are: Carrier. ,1- W l,L„ / Main Service 200A TO iOOOA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLOS. SO 3.5¢FT: MULTI-OUTLET NON- RESID. T. @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES Zo @ 1,00 BAL @ .so FDIEI Ex. Occup. OUTLETS RL D °E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number" /-"_4 L /-) (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 provisions. '- / /' X _, <' Date 4? / .5 / U Signature of Applicant - ❑ Owner lyContractor ❑ Agent' 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 $ OCC CONST. TYPE TOTAL FEE $ 41.00 HAZ. I D. FEES IMP I FLOOD I COF PARCEL I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By 1411i/`f?! PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date f Date ReceiptNo.777. WHITE-D.D.S.-B.D. -CA ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541,E PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT —:2 =:2 3 4ks ASSESSOR PARCEL NUMBER 042-300-003 ZONING BUILDING PERMIT OWNER DAN R01304 TELEPHONE 39A__9130 SO. Fr, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 720.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 21-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3548 LIDL 397 QA Energy Plan Checking Fee $ $ PERMIT FEE $ 41.00 IAT NO. SUBDNISIONS 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ('� Describe Work: 12 .l T CLIME Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Fee 20.00 RLE Main Service zoOA 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 forceandeffect. License Class C� % / 7 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. ❑ 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 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. GPI 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 works� om'p� jnse n insure ce carrier and policy number are: Carrie d�T_7 Policy Number !7/'3—GL Z-0 ZZ96 !e (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 forthwit comply with those provisions. X Date J Q Signature of Applicant - ❑ OwnerContractor ❑ Agent' An OSHA permit is required for excavatY. s over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. so OR ADDNS. ( a ACC. BUDS. 3.5¢FT: NEW CONST. MULTI -OUTLET NOWRESID. BRANCH CIRCUITS97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDm1RES BA� @'; 0 Ex. Occup. GFLx�LEEDA AEs ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 41.00 HAZ. D. FEES IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated ab ve for whic have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date? -6-03 Oefe Receipt No. WHITE-D.D.S.-B.D. A AR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIL � DING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT C.,(�1 3 ASSESSORP U B - 3 � ^W �� /`JH`/1 3 ZONING BUILDING PERMIT OWNER T LEP" "E -9 5 SO. FT. OCC. BUILDING VALUATION 00 OWN DRE W CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1;a0O.Zo ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ , QD ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS r•D Energy Plan Checking Fee $ $ PERMIT FEE $ r 4z LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ DuplexMobilehome ❑ OtherWater sPECIPv Each Trap 7.00 - Solar or heat um water heater 23.00 piping 15.00 �' Each as water heater or vent 15.00 0.(u TYPE OF WORK New ❑ Addition ❑/ Remodeln [3 Other ❑ Utilities ❑ Installation (,L Describe Work: J��,�L�L2CX �.�i 641 /N; d)v Ad Gas piping stem 1 - 5 outlets 15.00 1 Buildingsewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ Ro ELECTRICAL PERMITFling Fee 20.00 600VMain Service 20.A OR LESS Main Service WA TO IUOOA 23.00 , 46. LICENSED CO TRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, 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 f the following reason: 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 OCCU LLING P. NEW CONST. DWOR OR ADDNS. ( 8 ACC. BLDS. so SO o 3.5QFT. NEW OUTLET REOSIIDDT' MULTI - 97.50 POWER APPARATUS 8 SINGLE 011RET CIR. EX. Occup. ourLEr OR POCTUREs Bn p 1.00 Ex. Occup. ounFis R D.oERa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ , MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall . not employ any person in any rier o as to become subject to workers' compensation s of Cal'Iforn' _ d afire that if I should become subject to the workers' co p a p vis' ns of s tion 3700 of the Labor Code, I shall forth ' h m with th pr isions. yy X I Date 1 Si at of pplican - caner 1 ❑ Contractor ❑ Agen An A permit is required for excavations over 5'0"deep and demolition or construction i of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ �ccZ PE ^ T9JAL FEE $ a $, w HAZ. D.IMP PLOOD cDP PARCEL PD HDISSUE 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. �J�' 3�-p3 BDate y PERMIT EXPIRES ON Date Receipt No. i WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -I SPECTOR GOLDENROD -APPLICANT Dec 17 02 11:39a p.2 I OWNER -BUILDER VERIFICATION I 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 providethe dor labor and materials for construction of the proposed property imp ement : YES NO 13 2. I HAVE Rr HAVE NOT ❑ signed an application for a building permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: K PROPERTYOWNER: SOCIAL SECURITY NUMBER:_� GATE: / 3 1 /0 NOTE. This Owner -Builder Per cation is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dec 17 02 11:37a 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 for which theyiness from the city or county. They are also required by law to put their license number on all permits Y PP Y If you plan to do your own work, with the exception of various trades thatou plan to subcon should be aware of the following information for your benefit and protection: Y 1? You 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. .Sindrel , Michas 1 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. �. V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION y�y 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PRMIT NO. (Rev. 12/96) -APPLICATION AND PERMIT C 62). 0akn uk 74 ASSESSOR PARCEL NUMBER ..- 3� A�^ IV,OWNER UU S ZONING BUILDING PERMIT bLPV�,� Y Tro"E y4 . �f !`7 SO. FT. OCC. BUILDING VALUATION .OWNERS MAIU ADDRESS ♦ CONTRA ORS NNAAM,E'�, ^ TELEPHONE CONTRACTORS MAIUNG 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 $ BUILDING ADDRESS ('y a -39 yU Energy Plan Checking Fee $ 9 PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap , 7.00 USEOFSTRUCTURE SF ❑ 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 13LI ilifies ❑ Installation ❑ Other ❑ Describe Work: MlIV .,�,�_ /14-13 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ���37) , i7 (71 ���� `�V • ELECTRICAL PERMIT Fling Fee 20.00 Main Service .A pp 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.POWER 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: 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.) 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 and agree that if I should become subject to the workers' cc s . n provi California., n section 3700 of the Labor Code, I shall fort ith with e o Ions. X Date © Si nat of Applica Owner ❑ Contractor ❑ Age t An SHA permit is required for excavations over 5'0" deep an demolition or construction of structures over 3 stories in hei ht. Main Service 200A To ,000A 46.00 NEW CONST. OW EWNG OCCUP. ( ORw 3.5Qso corgi . MUL�Tcou TUET NON-RESID. @7.50 APPARATUS 8 SINGLE OUTLET CI R. EX. OCCU OunET OR FIXTURES BAL @ 1.00 550 Ex. Occup. oF'XuTE A POE 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 FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ ,rJ HAz. p, ES FLOOD CIF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat bove for which fees have been paid. By Date PERMIT EXPIRES ON —3/ 0�1 Dela, Receipt No. ISG WHITE-D.D.S.-B.D. CANARV- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Dec 17 02 11:38a p.2 I 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 or labor and materials for construction of the proposed property imp ement : YES NO ❑ 2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed -work - 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY N ER:_�� = VDATE: ) / ;� 1 //17 l / NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dec 17 02 11:37a 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 performing their own work. If your work is beingeonepersonally yourself from possible liability if that person applies for the proper permit in his or her name. * -yourselt you may protect 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 $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer. you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and These risks are especially serious with respect to worker's compensation' insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an`ownerbuilder" building permit; erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sinax:rel , N ichaI I C. Vieira, C.B.O. i Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 41 PERMIT NO. (Rev. 12/96) APPLICATION AND P-ERMIT' C., W" ASSESSOR PARCEL NUAjIU ®w ZONING BUILDINGPERMIT OWNER LEPHONE 9- 5 SO. FT. OCC. BUILDING VALUATION OWNERS MAILI DRESS 0-ke- ^ W CONTRACTOR'S NAME TELEPHONE 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 $ BUILDING9RESS t..J 50/� Vim(\ Energy Plan Checking Fee $ apt $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARcUL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ DuplexMobilehome ❑- Other sPECIFr Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 100 TYPE OF WORK New ❑ Addition ❑ FWncOel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I.GJ W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LESS Main Service 2o.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 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: ,A<—,, 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 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 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' cc provis' se ion 3700 of the Labor Code, I shall fo ith o ly with se v' ons. X Date L SK'n a of Applicant - Owner ❑Contractor ❑AgeASHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service zooA TO 1000A 46.00 NEW CONST. DWEwNo OCCUP. 3.5Qso OR ADEW DDDNS' MUL�TICOUTLS. NON RE NST. @7.50 PO PARArus a SrwGLe ovrLEr CIR. ZD O I'50 Ex. OCCUp. OUTLET OR FIXTURES BAS @ ,50 Ex. Occup. ount-DTSR�) IA. 5.00 Temporary Service 23.00 Mobile Homo Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ �cc rr� TOTAL FEE $ 3 �. C� MAZ. I D IMP I FLOOD CDF PARCEL PD I HD SU This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate bove for which fees have been paid. �� n /► , - _ B ��LG� Date PERMIT EXPIRES ON JQ Date [ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 pl to provide the for labor and materials for construction of the proposed property 'inipdvement , YES NO 13 '2.'1 HAVE IT HAVE NOT O signed an application for a building permit for the proposed work. 3. I have contracted with the following person. (Srm) to.pmvie e: tie, proposed construcoon: NAME: �� �� .► ADDRESS: CITY:. . PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired -the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: X PROPERTYOWNER: SOCIAL SECURITY EIL , - '<DATE: 7 / 2'-) 1� NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to Issue the permit. OVER 4 . . OWNER BUILDER INFORMATION 7 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 basiness 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 yod pl id to dc�yoiir own'work„ with the ezcepdon of various trades that you plan tc subcontract you shduld be swan of the following information for your benefit and protection: ' ♦ if you employ or otherwise engage any persons other than your immediate family, and the work (including nnsterials 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. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security. taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ 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. ♦ 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 "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 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. rely, !Ma' el C. Vi Ara, C.B.O. ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 198.0 of the Calybrnia Health and Safety Code- OVER oda OVER COUNTY OF BUTTE -DEPARTMENT OED ELOPMENT SERVICES - BUILDING DIVIS 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538- PERMIT NO. APPLICATION AND PERMIT 4?Z1 /7/S _ ASSESSOR PARCEL NUMBER 042-300-003 ZONING C1. BUILDING PERMIT OWNER MARY CAMUSI TELEPHONE SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6268 WALL LN PARADISE 95969 EST. 700 CONTRACTOR'S NAME VINTAGE HOME REPAIR TELEPHONE 896-1772 CONTRACTOR'S MAILING ADDRESS 1109 W LINDO CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 19.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3548 HWY 32 CHICO PERMIT FEE $ 39.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 15.00 USE OF STRUCTURE SF O Duplex 6 Mobilehome EI Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities O Installation ❑ Other 1:1Contractor Describework: REPLACE EXTERIOR WATER HEATER CLOSET & PERMIT FEE $ 35.00 ELECTRICAL PERMIT Filing Fee 20.00 INSTALL NEW WATER HEATER (APPROX. 4X4) Main Service ( 211*1 OR LESS 00AORLESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( a ACC. BLOS. ) SO , 3.50 FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full fore and effect. License No. �53y H 2 Classification O I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) B SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 RAL. @ yso Ex. Occup.UT FIXED (RES DJ E (OUTLETS (RESID.1 EA. ) S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 a ep harmless the County of Butte against all sts, pen es which may in any way accrue against said Coof a ntin of this permit. liabT?7� X Date © Si natur Icant - ❑ ner Contractor ❑ Agent A 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 $ GCC CONST. TYPE TOTAL FEE $ 74.00 HAZ- D. FEES IMP FLOOD CDF PARCEL PD ND ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica ab ve for which ees have been paid. By DateMe'Receipt PERMIT EXPIRES ON (Date) No. 169978 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, Californn`a 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PA LLDMBE.ZONING ��J BUILDING PERMIT O NER TELE NE SQ, FT. OCC. BUILDING VALUATION O ER'S MAI G Dfl a C NTRACTO E R'S AM TELEPHONE C TRACTOR'S MAI • OR SS Fireplace cdNs'rRUCTION LENDER UNKNOWN Total Valuation $ "7�O LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERuCENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty- $ BUILDING ADDRESS Z CCp PERMIT FEE $ P (7 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 .94 USE OF STRUCTURE SFO Duplex Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition ❑ RPTrdPl ❑ Utilities ❑ Installation O Other O — Describe Work. _ / 1.� rI r (�L /!e�%/l7LG (j �r /, 06 /fit /1/��� aN� ��S�� // PERMIT FEE $_ p�J Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main Service �V OR LESS ( 200A OR LESS ) 23.00 l6 7 X / Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCC P. ) OR ADONIS. ( & AGC. OLDS. 3.5C so. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions Of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, 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) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. NEW CONST. ( MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS 1)@7.50 ! POWER APPARATUS ) l 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.00 Ex. Occup.FIXED APPLSN. OR (OUTLETS IRES s6.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 Date Signature of Applicant - ❑ Owner O Contractor O Agent 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 $ OCL CONST. TYPE TOTAL FEES -7 q-0-0- HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD I HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON IDerel Receipt No./02 91 -700 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK[ -INSPECTOR GOLDENROD -APPLICANT 1 `C 0 1 1i RESIDENTIAL (� (.�: Zq 042-30-0-003 93-2976 B CAMUSI, MARY _2-9-75 + 3550 HWY 32, CHICO (rebuild ex deck & repair termite dmgjdu { I JOWFINALM (Data) Signature f � � t f 1 1i RESIDENTIAL (� (.�: Zq 042-30-0-003 93-2976 B CAMUSI, MARY _2-9-75 + 3550 HWY 32, CHICO (rebuild ex deck & repair termite dmgjdu { I JOWFINALM (Data) Signature V=OK O = Not OK = NNot ot Readiyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Locatlon-Test-Fall-C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. ' / /"Nat. or/ P'L"ft./ /"LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings;. Size -Spacing -Marriage Line 3.. Gas; MH Teat-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Test -Regulator -Connector 7., Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy t MISCELLANEOUS Date/Initial K8 R8 CARPORTS, GARAGES. Plana OK exce t #'a onin equirements-Setbacks-Easements o tIhga; Soils -Size -Depth -Spacing -Connect m- ee Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftrs.-Connectors Shthg -Rfg.-Bracing 5. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric &-,Fr-mg; Sils-Anchors-Studs-Rftrs-Trusses Siding; Nailing -Veneer -Stucco -Mesh 44 -Roof; Shthg-Roofing -++.E r; Steps -Doors -Landings Date/Initials POOLS (Plana) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness bead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL .,(Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd -/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6s. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nasi Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Wells; Nailing -Bolts 59. Insulation -Wells -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66.. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certiflcates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT _ . ASSESSOR PARCEL NUMBER 042-300-003 ZONING C1 BUIL NG PERMIT OWNER MARY CAMITST TELEPHONE SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6968 WALT, LANE/PARADISE 95969 IST RENEWAL CONTRACTOR'S NAME TELEPHONE 896-1772 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee 1. FEE $ 9.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 550 HWY 32 CHIO PERMIT FEE $ 29.50 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex IMobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition ❑ Remodel O Utilities O Installation ❑ Other ❑� Describe Work: IST RENEWAL/93-2976 PERMIT FEE $ Contractor - ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceBOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) 3.50 FSTO,. �F '�' CONTRACTORS LICENSE LAW I declare under penalyof perjury (check one) O I am a licensed funder provisions of Chapter 9, Division 3 of the Business and Professions ode and y license is in full forc nd effect. License No. Classification O I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason'` _ NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ( & SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) @ 100 BAL. . 50 Ex. Occu FIXED APPWS. OR p' (OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 <WORKER'S COMPENSATION INSURANCE I declare under penal y'of perjury (check one): ❑ This permiVislfor $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. all not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California 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. armless the County of Butte against all , ju hich may in any way accrue against said 1 also gree to"�f�h liabilitie:,',n County seis permit. X Date © -S• na a of Applicant 0 er O Contractor ❑ Agent 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 1 $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 29.50 HAZ- D. FEES IMP FLOOD CDF PARCEL PD HD ISSU This permitis hereby issued under the applicable of the BIWUCounty Code n or Resolutions indi e:ab a for hi e s ave been PERMIT EXPIRES ON !De tel provisions to do work paid. / Q Date I C 9-- 4-95 Receipt No. —73O� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLIC ANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICE 11)LDING DIVISION7 County Center Drive - Oroville, California 95965 - Teleph a �538-754yt-PERMIT NO. APPLICATION -AND PERMIT jj y ASSESSOR PARCEL NUMBER 042-300-003-1 ZO ING BUILDING PERMIT OWNER MARY CAMUSI TELEPHONE SQ. FT. OCC. BUILDING VALUATION 96 672 OWNER'S MAILING ADDRESS 6268 WALL LN PARADISE 95969 CONTRACTOR'S NAME &VINTAGE HOME REPAIR TELEPHONE ,996-1772 CONTRACTOR'S MAILING ADDRESS 1109 W. LINDO AVE CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation S LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 19.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3550 HWY 32 PERMIT FEE $ 62.00 CHICO PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex &X Mobilehome O Other Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISIGIwF @20.00 -SPECIFY--- TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation C)Other 1:1Contractor Describework: REBUILD EXIST. DECK PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 REPAIR TERMITE DAMAGE Main Service ( 200A OR LESS OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.50 FSTO,. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code n y license is in full for a and effect. License No. Classification ❑ I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @'.50 Ex. Occu FIXED APPLNS. OR p- (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the a ve mention. �pe r inspection purposes. I also agree e, in m ' y a7d Bep harmless the County of Butte against all liabilities, j dg en s, costs, nd eTyi nse which may in any way accrue against said County i one en of a gr ffifii Ing this permit. X Date Si nature of Applicant ❑Owner Contractor ❑Agent n OSHA permit is required for excavations over 5"0"Ye. d demolition or c struction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 62 •00 HA2. D. FEES IMP FLOOD CDF PARCEL PD ND 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. DIRECTOR OF PUBLIC WORKS By Date_%42 ry PERMITEXPIRESON 9/7, date) Receipt No. 148526 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I '-"'`•-r'I'Y�X`-�r.w�-v,.f..M,.r•�47..r'�'ti''�''*1rndl+�.�.r'+�'Y+,.-„►ii��,(��.r.-,./"la.�`���"T`"..1'���-r�"^�"'l..•.r^r`r'.'l�T"r�m`�rt^wF:�Y�.'�..`"`�°'1�" "''°'�Y--�..�4 - COUNTYOFBUTTE - DEPARTMENT OF,Q`E•OPMENTSE I 'E - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - LEPHONE (916) 538-7541 PERMIT APPLICATION DATASNEET OWNER /l�l�l%2 `� �l1%/yI 61511 o Proposed Building Use'_kBuilding Inspcor�� Date -3 At time of pe i application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. /fi4. Flood elevation letter (100 year flood) by California Engineer. .. ............ . Sanitation and plot plan approval&& fH t? G)GT-H-ealth Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior'to occupancy). .. .. .. . 20. est Pre -inspection for required. .. oa�i'd 9 �secto (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of,Workmans Compensation Insurance. ......,.............. 23. Owner -Builder Verification (Given to owner , Mail to owner 24. _)............ Recorded copy of Agricultural Acknowledgement Statement.` ... . 25. ............., Letter of signature authorization . ...................:.. 26. Copy of recorded deed of parcel creation and 60 right of way to a, ublic road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................. 31. Existing violations/expired permits . ..................................... . 32. Plan check list . .................................................... 33. . 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at -office,.a 'ver with inspector. Other Parcel Creation n Acreage Applicant Date _ 7 Copy of Haz-Mat form sent Health Dept. Fire Dept. ( Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date 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 _ mai rew Counter by _ Date Plans checked by Date Plans approved by rr�l�i i �� Sets of plans ewheld -File eebitr P folder Copy Department of Public Works By Date / 1 COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: f CDF/BCFD DAILY INCIDENT LOS Day/Data fro* 8808 to 918®8jz,� - G1-1-- Pageof___ /fliaataaas{laaRt{e{ai♦{{{44{{{*aa{{a{{{{{{a{4@{*{{aaaaataaaaata{a ${{a{{ a{'{{{tFaF *a• J. incq Fire- Name ___TYPc__ -A�- ---- ------------------------ �� - Report tine Start time Control time R. O.fi_l _F 196 Sta4__ Location-�V----J4�.�'11x �9-----------------Batt#--- Cause__-____I______________________________Engines:CDF___bC,FD__-.;Co#___-Officer --- Saved --------------- ---------------------- Sq/Atk___NT--- Doz--- Crew---AA---AT---HC Damage ------------------------------ - ------ Other Cq----- __ I Land use Acre/•type -----^---_•-----'total---- ^__ Owner/Tenant -------------------------------------------------------- WRA:_X--M R.P. i_ _ _ f; _ _ _ _ BI: Misc.In'fo�Lut2-l���_S✓�--+-=�--------------------------------- sasasasaaa mama{mama{t{ a{aa{taaa{a meat. {{Dammam{aa{aaaata+{aF a a{ase air, aaa+�r++r4sf 1nc��Q Fire _��1 Name' ____Type_��'_V"�1�1,_ ----�---- ------ _. Report tiae� __Steri time _Control time R.O. _ fgi;�_0�/�1 ---- Sta4 ------- - cation ,3 (�AOD (---f�`C� AJC --------------------- ----- - Battq _ -- ------------- Cause_--_ __EnginossCDFBCFD f_;CoA Z OfficerL(7-_- ------------------------------- Saved-------L-----------------------------Sq/Atk---MT__-Paz---Crew---AA---AT---HC--- Damage ...... I -- --------Other Eq --------------- �Lguse--��AcralType __Total -----Owner/TienantI+J3�it.�l'12Lj�_�> > �/���+, _f/f6.T�r�y�{;_f(RAs_��d R.P._S!J C --------------------------•- BI O --___.._...._•.._._..--- -- __- _------- Disc.Info {{Qab{aa{1{aa{&{{{ab/X90{F44{{6{�[•{4�{{�4-i�l�iF#6{���r4ff{iGt{StQ{•t&#fSr&4Fii!r4A`$•S�9Fii{i4iFA�r4440it {{a �I nc �1� � _h ire$ _.l�_--•Name k e,--,_�1�1����._T ype_Ji`u�� - -� eport tianj_015 PSt.art time Co trol time R„(s. F/LL_C3/Ai____ StaSM 77 /_ 7y--- --- -- Location 1Zi%�i,�1Bl�!.'�J.� _� CSL----..__.;.-_.__ a __ - Battq_j_ Cause ICn iners:CDFIfCFtiCoS Officer j--------- •--------------------•_---- - --- Saved _ S /Atk---NT___Dox-__Craeo___AA---F,T---HC--- �Daeage----------------------------------- Land use - Other Eq_------------ ` ------------------- --------_Acre/TypeTota)'y, -- Owner/Tenant- ---------------------------------------- Zr 0 K.P._%3, YJ_J_L------ �______ --------------SI:---- Misc. Info__GJ✓ISJ:OZsyl�v �c�2� _____.__--_----.-.------•-•--------- ,_ sFa{a{a{Daae. s{a+{ate►a{{4rttstreate jaee�{se{•arta{•acre{•a•m•arra{aane{•uat:e►-�•��a+��,c$taa{s Incfl_1Sr lreq 1_ C�r�LU---- -- Type'__ 0�}}. Report ti.V %8t�rt tiareJ�_Can o1 ticoe j�jSdLocationn ��`CauaeeckEngines•s(;6F-,__H(; CD SQL _ �4f4�c r2/fig `\ SavedaODA r------!fig/GltklBoaCrea9--- AAAT HC �Daeage___-_ _ : 1.4 Q!Od ---- - ---- -- __ Other Eq_---__._.___----•- __-__ Land' use -Dim kn� f-____Acre/Type-____..____-.._.._.-_________Total- _ Owner/Tinant _ _ _ --------------------- __ __ ____ _ __ _sJ�jy_-`�� R. P. ----,� ----_-----_�C__1C!!C/�s- _aqw. - y ^ BI ------- Mf sc.Info_ / �` a _' __ ______ aa{aataaa{Si4tif1�0itili0fJ�6{ff1S'fi6�6at{i9}Ylfifrfift4F(�aEaFif3iFtF•ff04&tiAB••5b•�Ftiai•ifFfiatiFaFft{148•aF{G$#,Tr$1a4aYYa4 Inc81�7_ Fire® Nape TYPe yi �-____ Report tioe:Start toe• Conkra} iese 1Y.0.sJ_______ Htai1~T� Location--T ----Batt# Cause________________-----EnginvssCDF_-_BCFD_(_iCoO :fficer------ Saved ------------------------------------- -�_�--_-� _ _ ___ Sq/Atk2•-� MT__ Do�� gCrew _AT HC Damage ------- -----------------------Other E4,�L�/_��1Y�� _ii�r_ --- --- and use Land use---------------AcrelYype----__ Total Owner/Tenant----------------------------------MRAs L ' S� 1 Misc.i<a'fo:4461R7---,r-d/_>--- i r --------------------------------------- BI:------- ------------ � rev. (7/16/86) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPUCATION AND PERMIT PERMIT NO. V -7_3,,i�— 90 A A SSE 45f R, P� R�JL NUMBER 3 t� ZONIN�1 BUILDING PERMIT OWNER Foqtpr TELEPHONE 343-2379 SQ. FT. OCC. BUILDING VALUATION OWNE 'S MAILING ADDRESS CON R ane, Cnico SINN TELEPHONE CON RAC OR'S MAILING ADDRESS Fireplace - CONSTRUCTION LENDER Nrino UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER Ninne LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS '194R 14ury 'A9, Chirr) 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 SF❑ Duplex❑ Mobilehome❑ Other Pump House SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesK] Installation❑ Other ❑ Describe work: Electric Service Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service i$o AMP ORV OR LESS10.00 10.00 Main service EA. ADD'L too AMP 2.50 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 sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions,Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. C ACC. BLDGS. , h�sgft NEW CONSTR ULTI.OUTLET NON•R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. / Ex. OCCup\OUTLETS OR FIXTURES AL0eAL00 3 Ex. OCCUp. OUTLETS FIXED APPLINIS (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bVirin 9 15.00 15.00 —Pre–Insp 15.00 Permit Fee $ 2..50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): P-11fhe permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 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 said County in consequence of the granting of this permit. Signorure 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 $ AL E FEE - sn HAZ CUA PARK PAR JPDJHDJ Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for wh'ch fees CTO O BLIC BY PERMIT EXP RES Date the applicable provi- resolutions to do have been paid. WORKS 7 Date F0 ~ Receipt NO. 35– Receipt 5 7 WNITC-D.P.W., YELLa W-ASSC SSOR, PINK -INSPECTOR• GOLDENROD -APPLICANT OWNER --w,.1 �...4y,gM�t-ic";��L'E�A�,r�r..i 'tA+"1��1�s-yav �J..r�r.•�`1•{. �,y�. � .� t COUNTY OF BUTTE '- DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORQ_V_&6I ,,C°�ALIFORNIA 95965 - TELEPHONE: 916/538-7541 i PERMIT APPLICATION DATA SHEET _.- � Permit No. Proposed Building Use �-: A. P. No. Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All iter -s 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 ........................................ 14 .......... 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: .... 1 Improvements may be required. Contact Land Development Section DPW 9. Driveway permit (construction ap roval required prior to occupancy) —� V2_� 0. Pre-Inspaction for a It'- n �` required Pre-I"spec. request to - _ Building Inspector (Date) 21. Contracbor's license information (No., Name Style, Classifications ... 22. Certifica-e 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 pi kup at office. Deliver w/inspector. Other Applicant_ 4 — �-t Date_31'� 9'4 Copy of plans Eent Health Dept., Fire Dept., Other ` Date 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 i. -:ems required: Contractor, designer, owner, was advised of above required data by—phone--'L Contractor, designer, owner, was advised of above Fequi•red_dpta by—phone Plans checked by Date Plans approved by Sets of pla-is on hold in . File cabinet AP folder Copy—DPW it _counter by .date 11—counter by date Date COUNTY OF BUTTE Depai"ttnent of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION t 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) La 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 . 1. Phone Type of Work Signed: Property Owner Social Securit u er 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. PRE -INSPECTION OWNER: v! 8 e Z DATE����o� LOCATION: <er C O A. P. # CONTRACTOR: '—� ZONING C� -------------------- PRE-INSPECTION FOR: P_l e cc l-1^ i e- �o r O use- . MwL1�r ' The r� o,✓`c, AfFCC-nI l z d u,!2 /p 4- 0 1 © kt -t- /1 c¢ t^ / DATE TO INSPECTOR 014 A20 PERMIT HISTORY: [J NONE E7J AS FOLLOWS: TYPE OF OCCUPANCY` FIELD - IN.FORMATION BUILDING USAGE: �- "'✓ %��.5 '"� �^���`g TENNANT: OCCUPIED] HAS ELECTRIC ,HAS GAS F�<] HAS SANITATION FACILITIES [HEATED -COOLED E:I PERSON CONTACTED % ,V OTHER COMMENTS: Z%�-' �J/L F-%�dS S'•° �' /�E %%�� ��`�S i.� ��d l Lr �� )�D� h ACTIRECOMMENDED: IONEx ISSUE (� OTHER: HOLD FOR BY �-✓'. DATE IN V. . . . . . . . . ..... f 13 n. 14! JA .......... ;Zlwifflo 9 ,� , ... . ,,1. :-. n " , ;} n . „ %h"� , ' d - ".1' _ a ,r� i� " ,, I , 1. 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OoritiifioO -d1uring thq S55 EAST AVO"' I�Q, 'CAOrORNIA 95kiB z of 00 pt, loeludinq safety of,oll' Oersogs and roomy, hat this loquirernofift -19 It 8001Y WhOPUDOWY AW Mot 40 limited to h&mal wotking,hours, tind that the Ohtfgtor Nr,7-IN 6 T Oall daferid, APOH F ITECTS 150R$ T i. z6urw listrucilon of thi, pr6jo or Pik Ind and MccAlm &icciotbs hkt*iltis,froi­� ahvlbrt oil lial)(ITtY, to tT porforMahaiii of work'on this Oft5jeet, exc ea T ?- q Opt!fjg for liability OmA)q ftaffitho 101L, (141. "T U RES, tl6mi in ao OD thdr a0re -4hpll viot-devioto rn thdo dr, ce Of' th-6 owiorof # 410 C6.nftactoe fur Os 016'rit'lle, awings, detAilt and spomfics proVal (toon M C j , $� '16�1 jeotjdr�j tit to meanitig 00-. _".I_ of dot 11 bo, dit-dicted t MOCOIA ASsOdid(09 (Or, 772 ht thi tills 'ot sliet.1 oecift With the work offootecl, cetrit nt fwttor ot sglits Or wWOL yard, o M urop of 4 1. afid �8 Mir a I tot, 28 0 c h0, Y, gtj�dlog"it cmp�djaf 1% M1661; -Wit -e' d Wofo .' 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