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HomeMy WebLinkAbout058-340-03058-34-30 ---`�92-657P, E z'��� _— -- — BUTLER, Richard 13460 Green ForLn, 0 oville (mh utilities) - ELEC GAS COMPACTION TEST R SUPPORT STRUCT Q MISCELLANEOUS Electric-Fire08 ELECTRICAL SERVICES - JUNE LIGH 13460 GREEN FOREST LN BUTLER RICHARD DENNI, 50�=1G0 t 058=34a=0�0 MISCELLANEOUS Demo-Fire08 DEMO PERMIT - JUNE LIGHTNING F: 13460 GREEN FOREST LN BUTLER RICHARD DENNI, 4, BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 13460 GREEN FOREST LN APN: 058-340-030 Owner: BUTLER RICHARD DENNI, Permit No: B08-1607 Issued Date: 8/13/2008 By GLB Permit type: MISCELLANEOUS 1261 PINE AVE Subtype: Electric-Fire08 SAN JOSE, CA 95125 Expiration Date: 8/13/2009 Description: ELECTRICAL SERVICES - JUNE L: Occupancy: Zoning: FR5 Contractor Applicant: Square Footage: D T G ELECTRIC D T G ELECTRIC Building Garage Remdl/Addn P O BOX 8923 P O BOX 8923 CHICO, CA 95927 (530)321-6233 CHICO, CA 95927 (530)321-6233 Other Porch/Patio Total FEE INFORMATION DBE Single Phase Service-Resid $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B8272 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires D T G ELECTRIC 825782 / C10 / 10/31/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division of the Business and Professions Code, and my license is in full r and effect. X 8/13/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Con rectors Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that suc.1 improvements are not intended or offered for sale. If, however, the building or improvement is sold within one I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier: Policy Number. Exp. Date: (This section nee not a competed if the permit is or one hundreddollars ($100) or ess. ❑ IAM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compe of California, and ag a that if I should become subject to the workers' / X 8/13/2008 comp sa�ionnp.,aw"s ooisions of Section 370 f the Labor Code, I shall forthwith comply with those provi tons Owners Signature Date X � 8/13/2008 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte Coun ffi ty. its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte Co ty to enter the above mentioned property for inspection purposes. I hereby certify that I am the P rty ow er or auto ed to act on the property owner's behalf. I -c. 8/13/2008 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) a of Permittee [SIGN] Print Date Owner 1:1 Contractor OR; DAgent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act. All putt related to this application is subject to public inspection and will be posted on the County's website for_electronic access. OWNER INFORMATION Last Name G► I �e/� 1l F Name e n I C Mailing Address ! 3 /^ re(?A L City t State ,d_ fT -hon Fax E-mail CONTRACTOR Name 7 Name Address 1� Address City StateZPFT q Phone S,2 1_ 2 3 3 Fax E-mail Fax LiG # � �vr' � Class M APPLICANT INFORMATION ARCHITECTIE G/NEER Name Address Address ity ' // e /JJ City State!� li State Zip Phone Fax Fax E-mail Open Cov State License Number APPLICANT INFORMATION Name I F11 Address ity ' // e /JJ Occ• State!� li Zip (7 a r�3f 3 _g/Y LF Fax E-mail Sq FT- Living Garage APPLICANT SIGNATURE i, J W1 'Vp PERMIT NO. X04& t c'0d BIN N information Ib PROJECT LOCATION w APa — 3 - O_3O - © Oa Property Address 3 G ✓ee% f01VS-f LA. city l a,Pi C :l'� CDnCDCd WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time ofpermit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE 9F WORK: Zoning I F11 s SRA Yes No Occ• Type Const. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): W I Q lot For office use only: Zoning I F11 Flood Zone SRA Yes No Occ• Type Const. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 13460 GREEN FOREST LN Owner: Permit No: B08-1608 APN: 058-340-030 BUTLER RICHARD DENNI, Issued Date: 8/13/2008 By GLB Permit type: MISCELLANEOUS 1261 PINE AVE Subtype: Demo-Fire08 SAN JOSE, CA 95125 Expiration Date: 8/13/2009 Description: DEMO PERMIT - JUNE LIGHTNIN, Occupancy: Zoning: FR5 Contractor Applicant: Square Footage: D T G ELECTRIC D T G ELECTRIC Building Garage Remdl/Addn P O BOX 8923 P O BOX 8923 CHICO, CA 95927 CHICO, CA 95927 Other Porch/Patio Total (530)321-6233 (530)321-6233 FEE INFORMATION Total Charged: $0.00 Fees Paid: $0.00 I Balance Due: $0.00 Receipt No: LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License D T G ELECTRIC 825782 / C10 / 1013112009 Law for the fallowing reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencin ith Section 7000) of Divisi 3 of the usiness and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full for nd eff]ct. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrcm and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects V X I 8/13/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required by ❑ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier. Policy Number. Exp. Date: (This section nee not a competed if the permit is or one dollars ($100) or less. ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Com s tion Laws of California, and rea that if I should become subject to the workers' X 8/13/2008 co ens ion provisio sof Section of the Lab ode, I shall forthwith comply with those Owners Signature Date pr ision . X 8/13/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Sig ufe Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the ova m tioned property for inspection purposes. I hereby cerlify that I am the f arty o er o au ed act on the property owners behalf. CONSTRUCTION LENDING AGENCY 8/13/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for rt10 f Permittee SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 f' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 58-34-030 ZONING w/ BUILDING PERMIT OWNER IPTQHARD DENNTS BUTLER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 13460 QRFTN FOREST LANE OVILLE CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRLCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ , Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 13460 GREEN FOREST LANE OROVILLE Permit fee $ 20.00 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat Yump water heater 20.00 LOT NO. SUBDIVISION NAME RCEL MAP '7 Water piping 7.00 Each qas w ter heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other :��Building SPECIFY Gas pipin system 1 - 5 outlets 5.00 sewer 15.00 Mobile ome V @ 15.00 45.00 TYPE OF WORK New[ Addition ❑ Remodel ❑ Utilities 0 Installation❑ Other ❑ Describe work: 2 BDRM _ Pe t Fee $ 60.00 C ntrac r =E LEC ICAL PERMIT FilingFee 15.00 Main service Ov OR LESS OR LESS 20 18.50 18.50 Main service 200A 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑I am licensed under provisions of Chapt. 9, Div. 3 of the Busl esS and Professions Code and my license is in full force and �fect. License No. ClassificationAL I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC, BLDGS. 3.64sq.ft. NEW CONST R. ULTI.OUTLET NO N•R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS .&) ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 6 FIXED APPLNS EX. DCCUp. OUTLETS IIRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 5,00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. dl 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 FilingFee 15.00 Heating Coolin g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 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 it. against said County in consequence of the granting of thi:216 X it.r1� &�� Date 92 Si nature of Applicant - owner ❑ ❑ g pp Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 128.50 HAz 1 0FEES I IMP FLOOD COF PARCy L/ P HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 110084 50.00 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916:'538-7541 APPLICATION.A.ND PERMIT PERMIT NO. ASSESSOR PCEL N B R ^ ZONING BUILDING PERMIT OWNER TE 110 E �� SQ. FT. OCC. BUILDING VALUATION O WNGR'S MAILING ADDRESS CONT CTOR' TELEPHONE I CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ I Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ I ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ j Energy Plan Checking Fee n $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ j BUILDING ADORESS � � —�� w � � � T permit fee $ O PLUMBING PERMIT Filing Fee 15.00 Each Trap 1. 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 j USE OF STRUCTURE SF❑ Duplex[] Mobilehome Other SPECT FY Gas piping system 1 - 5 outlets 5.00 I Building sewer 15.00 Mobile Home 4 tV AJWJ @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel Utilities Installation[] Other ❑ ���Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A1 37.5. CONTRACTORS LICENSE LAW I declare under penalty ur ) p y of perjury y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification El I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR ACDNS. ACC. BLDGS. / 3.64 sq.ft. NEW CONST R. U TI.OUTLET NON-RESID BRANCH CIRC ITS @ 5•�� POWER APPARATUS h SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES A 20 76d FIXED EX. Occup. OUTLETS PIRESID INSKEA.) 1 3.00 11 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation pertnit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations ove 5 0" deep and demolition or construct - ion of structures over 3 stories in hei Mobile Home Installation Fee S ,. Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ �! HAz 1 11FEES I IMP I FLOOD CDF PARCEL PO HD UE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date J.Receipt No. - WNITC-D.P.W.. TCLLOW-A9DC»OR, PINx-IN9PCC GOLOCMROD-APPLICANT :.-"?tg11A�i'---'^�.i:��:.�q.+ar: "T'�'x��{ ;,3�.,er,M,•+�.�-.c,. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET _ Permit No. OWNER !J �/ lj TZt� %2— A. P. S 3 -0 Proposed Building Use /y Building Inspector Date /d Z 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 items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . . 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... . t 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 ...... /.�.................................... . Fees of $ %$ r 1 Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13 School District fees paid .............. Sanitation approval from D imp Health Department M. 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 rovements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... . Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ......................... ...... . 26. Er'' 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant {r°v✓, K 411.1-41.Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date , Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit I 4 suance: (Circle new item not checked above). AJ1 1, Index permit for above items No. 1 -4,.2 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by Contractor, designer, owner, yas advised of above required data by—phone —mal l—counter by Plans checked b, Sets of plans on hold in Copy—DPW Date s approved by File cabinet '"_iZ_AP folder date date Date N This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make ariy changes or alterations on same with- out written permission from the Department of ?5 aN\ Public Works, County of. Butte.90 00 ' S'� orkmdnsh+prcc qce% /�/ • ads & .W , C�o°d P d use in Mater+ ece9�+ter d a Spec+{+e God 4 73 �qE! ce .wit4+ R jot M ed �`OXV aen escf% $` "• Pcc°r �a1►ty pr Q1urnbir9 ` j 01 C, arm �d+�,+laec{ricd, � Nano N 0 L o r 3 q'h.s��j/ 0 l Z • 45 Ar- . Lcji 1e /` gzY .� i 8.84 Ac. \3 r f SB7 oo's7-�J ' o w 9 14S %w 4.0 Per -S A" N z ho h Lat \, �\ � 4.94 AG DoE L.s.3�3¢ • e. A = g --Y 7- ,5'6 SG 4. 7/ N ii'i4'o8'E 24.30 n N L OT- C. * TC.4 Ac Od F�ouivv -3/4 //zon/ �i�r - 0 0 N -le n/I.6°-ri i oo'td/ &0. 00 \I A' N Z&' 3(,'0 o -e- 4g.,300 e-4s.90 ,-/9 s 7- 873. (06 maw PiPC .415 Pc7? 39 -/s -3o A h h h NOTES o�.�� .,s �,v ��✓ 1.M PORTANT MESSAGE FOR A.M. DATE TIME P.M. M OF PHONE - AREACOOE NUMBER # EXTENSIONS TELEPHONEDa �� y"4PLEASE:GALL �GAMETOSEEYOU� E WItICALLAGAIN WU "" Y' i NG w, Ni y >>��WA ti��U,.>Y»F M E fi <'#�'.u.F6�.•' 9i ,.77R4 RETURNED YOUR CALLIUM,,��SPELATTENTION f.` .(" C NK•e,/,G' u. '$` ` ail "� 9 �sni t" N f MESSAGE SIGNED LITHO IN U.S.A. - TOPS ® FORM 3002S OwvtLaY- I YNt r`s c�af e � s f 1/ Jocis not Ove_ S h o �ol //1ct vC' �l�l P Gyl©� P �1 i n ��a ✓' . �rr►2 7i f Su �SfC--� A1C C© �r,� i �'► Q nd �-c��( �� �� � n Aa r- CVS( r` Yl I've WO Lt. (Cl K/ P GYl a t l r rl PO - a An, r� Ma�� �k r he SOC �► �- y l ev& n)ge,( La T -m V f- �� i Al �r r q/ A, r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. Calltornla 95965 - Telephone- 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. I OCC. BUILDING VALUATION I I OWNER'S MAILING ADDRESS i CONTRACTOR'S NAME TELEPHONE I I CONTRACTOR'S MAILING ADDRESS Fireplace i CONSTRUCTION LENDER UNKNOWN Total Valuation I $ I Filing Fee $ 0 1 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ JOoC 1 Energy Plan Checking Fee $ l ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee _ 15.00 Each Trap 5.001 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 ' Each qas water heater or vent 7.00 USE OF STRUCTURE SF' Ouplex7l Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile Home 1 S G IN @ 15-001 IV 50U) TYPE OF WORK New: Addition Remodel L Utilities 0—Installation/ Other ❑ Describe work: Permit Fee $ 0,0 ; Contractor ELECTRICAL PERMIT Filing Fee ''15.00 Main service 200AORLESS ESS 18.50 2�, - Main service 20CATOI000A, I 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ! I am licensed under provisions of Chapt. 9, Div. 3 of the Business/PowER=_ 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) iJ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. ( DWELLING OCCuP.&) I OR AOONS. ACC. SLOGS. 43,5E sq.ft.j VEW CONSTR. '• UL'I-OUTLET YON•.=ESLD. BRAN C.- CIRC"ITS a-- ` 5'001 APPARATUS & 1 SINGL OUTLET CIR. ) jl Ex. OCCUo(ouTLE-S OR FIXTURES I A � zo 750 R raj 4 = XEO APP�_NS. OR Ex. Occup. C ,-;TLE S RESIC., EA.) I 3.00 Temporary service I 15.00 Mobile Home Facilities 15.00 f5� Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): j I The permit is for S100.00 (valuation) or less. G—II 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. F-1 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date S9 P nature of Applicant - Owner C Contractor C Agent G An OSHA ions over S'0" deep and demolition or construct- on of structuress over r 2 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE 'TOTAL FEE $ f 1VIA[!D'EES . IMP FLOOD i I I CDF I PARCEL o SSPE This permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXP!RES Date i the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. nN,T [•D. P. W., 1ELLUW-A33E330P, PiYR SPXCTOP. :OLDEN POD-APPL IC.AN T May 18, 1992 Richard Dennis & Sherry A. Butler, Etal 13460 Green Forest Lane Oroville, CA 95965 RE: Building Code Violation A.P. #58-34-30 13460 Green Forest Lane, Oroville Dear Mr. & Mrs. Butler: lie sent you a warning letter dated February 12, 1992 notifying you that you are in violation of the Butte County Code at the above referenced loca- tion. As of this date, the following violations still -exist. Failure to obtain the required permits, inspections and approvals for mobilehome utilities and installation of a mobilehome in violation of the Mobilehome Parks Act of Title 25, California Code of Regulations, adopted by Section 28A-1 of the Butte County Code as follows: (a) 1018 -Permits Required for any Plumbing or Electric (b) 1048 -Inspections Required for any Plumbing or Electric (c) 1324 -Permits Required for Mobilehome Installation (d) 1326 -Inspections -Required for Mobilehome Installation An application was made 3/10/92, but was not issued due to failure to comply with items listed on data sheet. The above violations shall be corrected or abated by you by submitting the required items on the data sheet within thirty (30) days of the date of this letter and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed; the corrections must be completed and approved by this office within the permit specified time. Unless the violation(s) is (are) so corrected or abated, a citation shall be issued to you to appear in court for said violation(s) and for failing to comply with this notice. Upon conviction of said violation(s) or for failing to comply with this notice, penalties shall be imposed and a Notice of Violation recorded in accordance with Section 41-7 of the Butte County Code. Letter to Richard Dennis & Sherry A. Butler, Etal RE: Building Code Violation (A.P. #58-34-30) Page 2 May 18, 1992 Should you have any questions concerning this matter, please contact Rod Taylor or Jim Glander of this office at (916)538-7541. Yours very truly, William Cheff Director of Public Works ��,,�°„a•$ ;fir::>c f�:� JFG:dms J.F. Glander Manager, Building Inspection cc: Building Inspector PROOF OF SERVICE BY MAIL I am over the age of 18 and not a party to this causes. I -am a resident of and employed --in the county where the mailing occurred. My business address is Butte County Department of Public Works #7 County -Center -Drive - Cali£o-rnia. _Oroville, CA 9.596.5 - I served the foregoing 30 -Day Violation Letter by enclosing a true copy in a sealed envelope and depositing said envelope in the United States mail with postage fully prepaid.on 18th. of May 19 92 and addressed as follows: Richard Dennis & Sherry A. Butler, Etal 13460 Green Forest Lane Oroville, CA 95965 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on 5/18/92 at nrnvi l l p California. February 12, 1992 Richard Dennis & Sherry A. Butler, Etal 13460 Green Forest Lane Oroville, CA 95965 RE: Building Code Violation A.P. #: 58-34-30 13460 Green Forest Ln, Oroville Dear Mr. & Mrs. Butler: This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: Failure to obtain the required permits, inspections and approvals for mobilehome utilities and installation of mobilehome. Since permits and inspections are required for the above work, please contact this office within ten days of the date of this letter, submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact. Rod Taylor or Jim Glander of this office. Yours very truly, � a7 .j �s7UWilliam Chef f SO `��� D G, Director of Public Works JFG:ds J.F. Glander cR.f) Manager, Building Inspection cc: Assessor Building Inspector . Pacific Gas and Electric Company December 30, 1991 North Valley Division _Customer Services Department ��350 Salem Street P.O. Box 49. Chico, CA 95927 Butte County Building Department 7 County Center Dr. Oroville, CA 95965 Gentlemen: `1 Chico 343-5515 Willows 934-5491 Orland 865-4461 Paradise 877-6273 Occasionally our field personnel become aware'of what may appear to be newly established residences.or living quarters that are receiving electricity from a non -inspected source such as an agricultural pump, stock water pump, etc. or perhaps from an existing residence. No doubt many of these are substandard according to local codes and may warrant your attention. For your information, the following appears to be such a situation: Customer - DENNIS BUTLER Supply - Stock water & orchard (serving a residence) Electric Meter #28A526 Location - Concow Road, Private Road .5 mi W/Concow, .25 N/Jade Shop -13460 Greenforest Lane Account # LFM 26 34101-7 If you have any further questions regarding this matter, please contact me at (916) 896-4226. Sincerely, Y C. SHALLENBER Service Representative r ~-~ COUNTY OF BUTTE t DEPARTMENT,OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville —.Phone: 538-7541 747 Elliott Road, Paradise — Phone' 872-6307 CORRECTION NOTICE -.3y- OWNER ( U 1 PERMIT NO. l6 �rc2�1 rYe$ 1 /_4. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date / Inspector COMPLAINANT ADDRESS: x PHONE NUMBER: OTHER COMMENTS: F. Pacific Gas and Electric Company December 30, 1991 i North Valley Division Customer Services Department 350 Salem Street P.O. Box 49 Chico, CA 95927 r -3y -2v Chico 343-5515 Willows 934-5491 Orland 865-4461 Paradise 877-6273 Butte County Building Department 7 County Center Dr. Oroville, CA 95965 Gentlemen: Occasionally our field personnel become aware of what may appear to be newly established residences or living quarters that are receiving electricity from a non -inspected source such as an agricultural pump, stock water pump, etc. or perhaps from an existing residence. No doubt many of these are substandard according to local codes and may warrant your attention. For your information, the following appears to be such a situation: Customer - DENNIS BUTLER Supply - Stock water & orchard (serving a residence) Electric Meter #28A526 Location - Concow Road, Private Road .5 mi W/Concow, .25 N/Jade Shop -13460 Greenforest Lane Account # LFM 26 34101-7 If you have any further questions regarding this matter, please contact me at (916) 896-4226. ?Sincerely, C.SHALLENBER Service Representative . . .1 3 Li j°' 61 u _1 Svc 3* ��.