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HomeMy WebLinkAbout058-520-021NUMEROUS BUILDINGS AND TRAVEL TRA_ 058-520-021 99-151 AG HOL-NING, AND CABANA WITHOUT PERMITS JACK 2/22/95 4173 BIG BEND ROAD, 058-52-0-021AGRICULTURAL OROVILLE EXErvm r o�nn rrr MICHAEL R AND TWANA B LITTLE STORAGE TACK ROOM ` - I 4173 BIG BEND ROAD OROVILLE 058-52-0-021 058-520-021 PERMIT#95-1237 MICHAEL AND WANDA LITTLE GRIECO, Darro 4173 BIG BEND ROAD 4173 Big Bend Rd., Oroville ENV HEALTH DEPT LETTER 8/16/95 Demo 4 Bldgs/SF ' 058-520-021 99-2552 HOENING, JACK STORM DAMAGE REPORT 4173 BIG BEND ROAD OROVILLE CONTR: OWNER 1 REPAIRS, PER SPECIAL INSP -,7n � LET Oq-2327 058-520-021 2' 058-52-0-02e I I SPECIAL INSPECTION 4173 BI BENJAC 4173 BIG BEND RD, CONCOW 99-15 Cont: OWNER _ REPAIR'fO FINAL i 5 { I V� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042827 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/27/2004 APN: 058-520-021-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 4173 BIG BEND RD CON Date: Contractor" Map Index: Description: 2 HOURS MANT. REPAIR TO FINAL SITE. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HOENIG JACK permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 4173 BIG BEND RD signed statement that he or she is licensed pursuant to the provisions of YANKEE HILL, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95965-8017 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: HOENIG JACK Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Policy a: Valuation: $0.00 Census Code: @<I -certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 2—,2 Applicant:_ J WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. /y - - — - CONSTRUCTION LENDING AGENCY This permit is hereby issued under pplicable provisions of the Butte County Cody enrUor - I hereby affirm that there is a construction lending agency for the Resolutions t9oo work indicaledlbovel for wh' h fees have been paid. ///��� performance of the work for which this permit is issued (Sec 3097 Civ.) �, Name: By: Date: PERMIT EXPIRES ON: Date Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representativesof Butte County toenter upon the above mentioned property for inspection �pses.Print Name:yQ I c�%t�j�0 Y� , Sign re: � Q Date: %-,-.2 /)-0 y �wner 0 Contractor 0 Agent for Owner 0 Agent for Contractor PV- PRE -INSPECTION REPORT OWNER: 444n Ir- j4 r G DATE: 4 - LOCATION: 4173 a« -Be-7.j r> Qi>, O,2o - A.P. # oss• 5so•o� r CONTRACTOR: ZONING: REASON FOR PRE -INSPECTION �-t,Ea w� DATE TO INSPECTOR: PERMIT HISTORY (; ) NONE (v) -SEE ATTACHED y, BUILDING INSPECTOR'S REPORT Building Description: 1 Commercial/Usage: K Residential # of Units: Currently Occupied ('Yes ( ) No Abandoned/Vacant: Electric: Electric Currently (�TOn ( ) Off s Condition of Electric Gas: Currently On ( ) Off Condition N3 Mobile home # of Units: c>^Je— R •37 • a4F- -r► M E r �l s ��c rno>`1 - v�f®�Q1L 12�u�12E �EQP'►/TS H E Wim!-w(T S ELECT 2 1 cf� L-� PLL-MQIde_ -+ 926. 12 13 Sa}1 �eP P C•�z. �i Sanitation: Plumbing Working (Yes ( ) No ` 15c7e.. Ila 7:1 - Obvious Sewage Problems ( )Yes (�(`No 2 ACTION RECOMAIENDED: ISSUE (' Yes () No Hold for permits or verify: ijo,dd //& ni 5�,y r/-jR� SKETCH BUILDINGS ON REVERSE AND INDICATE LOCATION ON PROPERTY. e JeLrn.� �l aajell I1 e se.rr o,/, -y al, JL/, z�ola j�p Inspector: �� 11Z, 0,-, # Date: SKETCH BUILDINGS ON REVERSE AND INDICATE LOCATION ON PROPERTY. DUS BUILDINGS AND TRAVEL TRAILER ABANA WITHOUT PERMITS 95 .52-0-021 [AEL AND WANDA LITTLE BIG BEND ROAD .:HEALTH DEPT LETTER 058-52-0-021 MICHAEL R AND TWANA B LITTLE 4173 BIG BEND ROAD OROVILLE 058-520-021 PERMIT#95-1237 GRIECO, Darro 4173 Big Bend Rd., Oroville 8/16/95 Demo 4 Bldgs/SF STORM DAMAGE REPORT 058-52-0-029 ?CIAL INSPECTION -15 1-k . 058-520-021 99-2552 HOENING, JACK 4173 BIG BEND ROAD, OROVILLE CONTR: OWNER REPAIRS, PER SPECIAL INSP LETTER �D 1 D 6 058-520-021 99-151 AG HOENING, JACK 4173 BIG BEND ROAD, OROVILLE AGRICULTURAL EXEMPT PERMIT STORAGE TACK ROOM 4j al yJ r COUNTY OF BUTTE j i BUILDING DIVISION i DEPARTMENT OF DEVELOPMENT SERVICES "'411 Main Street • Chico, CA • (530) 891--2751 57 County Center Drive • ( oville, CA •x(530) 538-7541 CORRECTION NOTICE OWNER > PERMIT NO. A routine inspection indicales that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction,of work is completed. If, you have any questions pertaining to this matter, or need additiona66`xplanation, a please contact this office immediately. AAA-) 0L� U(d s � P i . 5 Date �7 �' �� Inspector REV 10/92 VTj'� BUTTE COUNTY o 0 DEPARTMENT OF DEVELOPMENT SERVICES o ° BUILDING PERMIT APPLICATION O 0 AND SUBMITTAL REQUIREMENTS o `_�= .'� _ 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 c0014 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Last Name City irst Mame Address 21 �� G'H• City State d� Zip Phon - S -%Z Fax E-mail E-mail APPLICANT NAME CONTRACTOR Name City Address Zap City Fax State Zip Phone Map Book Fax E-mail Planner Uc. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zap City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zap Phone Fax E-mail APPLICANT SIGNATURE Zag�' For office use only: Zoning Property Address �, i` Flood Zone Cross Street 7t3 SRA Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP BIN # LOCATION AP# ®il Property Address �, i` City Cross Street 7t3 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage8 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): OVER FOR SUBMITTAL REQUIREMENTS IL KAFORMSOUILDING F0RMS1BIdgApo1SubRamts.doc Paae 1 of 2 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg Receipt #: Date: SRA Sheriff SMIP Other Total RFV 7-77-nd SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLEAND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular., homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSOUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 �U I TF BUTTE COUNTY / 0 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 ° BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS o ='� 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 6 U N'ek A FEE WILL BE REO UIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** APPLICANT NAME OWNER Last Name , City irst Name Address ' City r State State Phone Phon d -- S -%Z Fax E -ma l Lic. # APPLICANT NAME CONTRACTOR Name. City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE For office use only: Zoning Property Address Z ;' i Flood Zone Cross Street �..14 SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # LOCATION Property Address Z ;' i City C ,vel%•e Cross Street �..14 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address L)VLK FOR SUBMITTAL REQUIREMENTS U K:\FORMS\BUILDING FORMS\BIdoADDISubRamts_doc Paoe 1 of 9 Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt M Sheriff SMIP Other ther Total P;=V 7-'>7-nd O.B.-1 YV EEE.��:��..��....:2...?iY�<:sis>'..':>�'2i .`.:s"Lifi'i<::'�:>iai:<i?i<i<i;r>+.`<{< `.�.:``"':`} �..```'{:[`:;'5 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. 41. *2. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESJvT NO[ ]. I HAVE" HAVE NOT[ ] signed an application for a building permit for the proposed work. ' I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS:/ 7 3 4z < v a CITY: PHONE: i 8 -/moi 2 CONTRACTOR'S LICENSE NO. 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. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: * PROPERTY *DAM � 3 -,g y 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. May 1995 2 26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $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. Sincerely, Michael 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. May 1995 2.27 PRE -INSPECTION REPORT OWNER:. 446r--i-41C_ DATE: 1 4 - LOCATION: LOCATION: 4-t 73 a►e- -Be-p4r> Qt> OJ2o A.P. # 058. 5� •oma CONTRACTOR: ZONING: REASON FOR PRE -INSPECTION t^ -j DATE TO INSPECTOR: PERMIT HISTORY ( ) NONE (,,)-SEE ATTACHED Building Description: Commercial/Usage: _ Residential # of Units: Currently Occupied AbandonedNacant: Electric: Electric Currently Condition of Electric BUILDING INSPECTOR'S REPORT ( ) Yes ( ) No ( ) On ( ) Off Mobile home # of Units: TIME tr(S��cno�•! - I�LF�I�E vE2, ry V4 +A,-- v�f�rzlt t2E�u112r, �F2M�TS PU-L*l Q►n(G , RE• 20e'F !3 sc), 14 U_M ESO t.t S oma{ Gas: Currently ( ) On ( ) Off Condition Sanitation: Plumbing Working ( ) Yes ( ) No Obvious Sewage Problems ( ) Yes ( ) No ACTION RECOMMENDED: ISSUE ( ) Yes O No Hold for permits or verify: Inspector: Date: SKETCH BUILDINGS ON REVERSE AND INDICATE LOCATION ON PROPERTY. ljsL,G K — A ,butte C LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION - - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Re: Building Permit # 99-2552 _ Expiration Date: 11-5-00 A.P. # 058-520-021 With reference to the above subject, our records indicate that your building permit expires on the above date and .,your permit falls into one of the category marked below: [X ] Permit work started, but not completed. Permit may be renewed for '/z the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. . We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the gR.c)1' 1I I g office. Thank you for your prompt attention concerning this matter. Y.QVrs very truly, C. Vieira, C.B.O. -, Building Inspection MCV:lt Attachments Chico Office - 411 Main Street, Chico / 891-2751 R COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT jNO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER JACK HOENING 058-520-021 ZONING BUILDING PERMIT OWNER fO 39 SO. FT. OCC. BUILDING VALUATION 3,000.00 GWN524LI CERNOTHUS AVE CHICO 95926 CONTRACTORS NAME � OW1\ TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $nno no ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $94-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUIL41r�L}ll 3 l ND R/JR BED, OROVILLE / Energy Plan Checking Fee $ $ PERMIT FEE $ 74.00 LAT NO. SUBDNISIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 49.00 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: - PER SPECIAL INSPECITON LETT Gas piping stem 1 -5 outlets 1 1 s.00 15.00 Building sewer 1 15.0015.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 129.00 ELECTRICAL PERMIT Fling Fee 20.00 RUES OOOVMain Service 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.P 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: 2`07, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO teOOA 46.00 NEW CONST. DVaNG OCCUP. OR ADONS. ( 8 ACC. BLDS. so 3.5¢FT; Npt}pO�,p MULTI.OUTLET BRANCH QUITS @7,50 OWER APPARATUS 6 SINGLE OURET CIR. Ex. Occup. OUTLET ORFIxTURES 20@'.00 BAL O .SO OR Ex. Occup. oLrri pa 6.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 F' PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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.) ,121�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. � Date 1 �r3 / �C? G�gu�_re_ofApplicant - ❑ Ot#er ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 269.00 Z. D. FEES IMP FLAG CDF PARC HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON 46AZ206 Date Receipt No. 2R41714,6 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NC (Hev.12/96) APPLICATION AND PERMIT J�'E"ORP"`J 2ON"0 BUILDING PERMIT OWN" O� Cf Z O 2 TELEPHONE m SO. FT. OCC. BUILDING VALUATION OW►EA7 MAJUNO ADOREat ZZZ_ Ad Z�— 3043 CONrRACTOR'S NAJAE T N E, COMMACTOR7 HALM ADORE88 CONSTRUCTION LEM151 LENDER'$ Wuua ADDRESS Fire IeCe Total Valuation�— ARCNrrECr OR ENOJNEM LICENSE NO. Fifinc i Fee S 20.00 ARC►REM OR E?JGNEISR S W AJNO ADDRESS Permit Fee Plan Checking Fee S euaoINq ADDRESS 4 -3 `� �L� Energy Plan Checking Fee S S PERMIT FEE _ LOT NO. SUaONISIONSNM! PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex O Mobilehome ❑ Other safest Each Tr 7.00 C Solar or heat pump water heater 23.00 Water piping A15.00 S TYPE OF WORK New O Addition O Remodel ❑ Utilities O InsiLletion O Other �� Describe Woor�k:/n ,t��I�—AQP L� � ` z __ �� Each gas water heater or vent 15.00 p� Gas piping stem 1 - 5 outlets 15.00 , p r> 0 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S — ELECTRICAL PERMIT Filing Fee 20.00 Main Service = OR tFss 2oaA OR u<9s 23.00 Z.3. a CP J Mein Service 2WA TO 1000A 48.00 NEW CONST. OR ADONS. ( � P. Ova LSq3.50" NEW CONST NON-RESID. MULTI -DUKE► Q0 7.SO P9NOtE OWER APPARATUS OUTUR p0. i Ex. Occup. OvnEr OR FW"Es 200 I'00 aAL 0 .SO EX. OCCU .f9IED A"1118. OR OUTLETS ESID.) EA 5.00 TemporaryTemp!4[ary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 , PERMIT FEE S Z, MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ «e CONST. TYPE TOTAL FEES 2 NA2. D. PEES IMP -70 0 COP PARCEL I PO ND I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By —_ Date PERMIT EXPIRES ON 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 majqrJabor and materials for construction of the proposed Voerty improvement: YE NO[2. I HAVEHAVE NOT[ ] signed an application for a budding permit for the proposed wort. 3. I have contracted with the following person (firm) to provide -the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following..persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: ATE: 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. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as. the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ' 0 If you employ or otherwise engage any persons other than your immediate family, and the. work. (including materials and other costs) is $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 ,ownerbuildee, 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 o'w'n'- work wnwork 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. Sincerely, Michael 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. May 1995 2.27 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PE MIT NO Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ! O Z ZONING OW R PHONE NO. OW ER'S ADDRES �, a2% r1 O LOCATION OF BUILDING USE OF BUILDING,_ SIZE OF STRUCTURE � // S-- _L 1� ' X SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME �� STEEL CONCRETE OTHER (Specify) TYPE OF SIDING , j ROOF C RING FLOOR ® P (,cJ o p c .� ESTIMATED COST OF CONSTRUCTION $ 2 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: # I ._ %t - % - FRONT� SIDES /�' �d �luµv REAR �0'"" AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date f l _ 3— 9 90<Signature of Owner"'�� Permit Fee - $60.00 The above described AG Building is exempts m a building p it. Receipt No. Z90 -7,q6 Manager Building Divisio By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant i ,.a APPROVED ❑ CONDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL Q PERMIT CLEARANCE Permit #: �- f - 1 S 1 A G- Date: Genera/Information g AP# Owners Name:l�. 1`IO Q>3IJV Parcel Acreage: Owners Address: Building Site Address: '1 I M&A T �� a Prooerfy Information Permit Type: ja Agriculture Building ❑ commercial ❑Industrial ❑ Mobile Home ❑ SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel ❑ Septic ❑ Well ❑ Other Zone District: r — Date of Zoning Ordinance: General Plan: T 2 Development Agreement: Use Permit: Variance: Parcel Is In: Land Conservation Agreement &No ❑ Yes, check use Minimum Acreage: Nitrate Action Plan No ❑ Yes Violation Area No ❑ Yes Specific Plan No ❑ Yes ❑ Chico ❑ D2N ❑ Cohasset Enterprise Zone &No ❑ Yes, check use Floodplain In No ❑ Yes Zone: Panel Number: C� L Q) 0 IS ❑ Watershed Protection Zone No Yes Proposed Use Complies With: IS General Plan S; Zoning Proposed Use Reauires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Accessory Building Use Commercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown Landscaping: ❑ Landscaping Requirements are OK as Shown Road and Drainage Improvements Required: ❑ No ❑ Yes Applicable Setbacks: ❑ Other 71 Other Zonina Code Street & Highways Fire -Pr on Front Side Side street Rear 2� Height Permit Clearance Environmental Health issues. Septic Permit Review: Agriculture Affidavit Required ❑ No ❑ Yes Well Permit Review: Designated Well Site ❑ No ❑ Yes Land Development Review: Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes ?arcel Created by: ❑ Deeds ❑ Map Date of Creation: Deed Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: Date of Recording: Legal Access Provided: ❑ No ❑ Yes Legal Access Required: ❑ No ❑ Yes ❑ No ❑ Yes, Road Name: - ❑ No ❑ Yes Lot: Block: gook: , Page: :onditions That Must be Met Prior to Issuance of Permit: ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment). ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). ❑ Construct road to ❑ Other :eneral Comments: ❑ Meet parcel size required by zone ❑ Meet current EHD requirements. VIOLATION CHECK LIST A.P. # v��' ' � d D,2� Address 7-3 S� V Owner Owner's Address. Owner's Phone No. Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. Specific Plot Plan with C/V Noted.__yes no Penalties Required lst. Notice Sent a? -au- c%, 2nd. Notice Sent ate Date Comments and/or Determination Disposition For Citation Citation (Date) (Date) Department Recommendation to Court .Court Action Notice of Violation Recorded (Date) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL ER: 5 ^D Proposed Bui in se:.. Building Inspector: Date: At time of permit application, I was advised t e following data must be submitted prior to permit processing and/or issuance: ;�r_All items have been submitted. 112. Plot plans, 3/4 sets, signed by the preparer of plans. 03. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 05. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! 06. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ❑ 8. Hazardous Material Form. 09. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $ ❑ 11. Impact fees as shown on the attached schedule. ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. 016. Plot plan and business license approval from the City of Biggs. 017. Planning approval for (A) Use: (B) Parking: 018. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 019. Encroachment Permit for driveway (construction approval prior to occupancy). ❑ 20. Pre -inspection for required. ❑21. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter of signature authorization. 025. Recorded copy of Agricultural Acknowledgment Statement. 1:126. Letter of intent on building use. 1:127. Manufactured Home utility clearance. 028. Existing violations and/or expired permits. 029. 0433 A, ❑Grant Deed, O M.H. Title, ❑ Check to H.C.D $ 030. Other: Whhee' you issue the permit, process as follows O Mail to owner, ❑Mail t ntractor. �7el, hone ! I ! T and hold for pickup at office. 11 Deli ver with inspector. 0 N a PA 0AL � •,44 Applicant: Date: 16 1 W 'S / ac 1 EXPIRATION OF CATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant 18-B County Center Drive Oroville, CA 95965 (916) 538-7282 FAX (916) 538-2165 August 16, 1995 LAND OF NATURAL WEALTH AND BEAUTY - �- DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH 1469 Humboldt Road Chico, CA 95928 (916) 891-2727 FAX (916) 895-6512 Michael R. and Wanda T. Little 4173 Big Bend Road Oroville, CA 95965 ® 7 County Center Drive Oroville, CA 95965 (916) 538-7281 FAX (916) 538-2140 747 Elliott Road Paradise, CA 95969 (916)872-6308 RE: Inspection of. Structures at 4173 Big Bend Rd., CA -10P-4 0 5.8 - 5-2-0 = 0-2-1 Dear Mr. and Mrs. Little: This letter is a follow-up to my recent. inspection of.your dwelling and structures on your parcel at 4173 Big Bend Road. The inspection disclosed six (6) reside.nces'in various stages -of deterioration existing on-Little's.pro perty. Only the Little's dwelling was occupied at the time of my. inspection. on March 13, 1995. Each structure will be listed individually with my inspection comments (See enclosed map). Numerous violations of the California Health and Safety Code Section 17920.3 and Butte County Codes were noted and are listed below. These items pose a health and safety hazard to the occupants or the public. 1. Two (2) story green structure; creek.runs underneath this structure. a. Structural Hazards 1) Deteriorated or inadequate foundation. 2) Support piers have deteriorated. 3) Ceiling heights - kitchen ceiling height is less than 7 feet, codes require kitchen ceiling to be not less than 7 feet. The ceiling loft (upstairs) is also less than 7 feet. b. Hazardous Wiring 1) Noted bare romax wires spliced together. 2). Noted extension cords inside this structure. - 3) Missing electrical face plates. 4) Noted electri.cal;=wiring not maintained in good. .condition. - �� A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW Michael R. and Wanda T. Little Page 2 August 16, 1995 C. Hazardous Plumbing 1) Noted discharge from sink into unapproved piping near the creek. 2) Travel trailer with add-on. a. Inadequate Sanitation. b. Noted extensive water damage to this unit. Sil.t debris, and mold throughout the trailer.. 2) Lack of water and power to this unit. 3) Missing windows. 4) Kitchen sink plumbing missing. b) Hazardous wiring, not maintained .in good condition. 3. -..L Shape: House... Noted extensive water damage to.this unit, approximately 2-1/21 Water. -line noted inside. Noted mold through this unit. Ceiling height less than 7 feet. 4. Trailer.with Add -On (Shop) Noted extensive water damage to this unit, approximately 2 1/2' water line noted inside and 4' water level in lower portion of this unit. This unit was.*"Red Tagged" by the Butte County Building, Department as being a substandard building which endangers the safety and welfare of the occupants or the public. 5. "Cherry Tree" Cabin This unit. also "Red Tagged" by Butte County Building Department as being substandard and endangers the safety and welfare of the occupants or the public. 6. Little's House Noted extensive water damage to east side storage room, approximately 4' water level noted. Occupants stated that approximately 2 1/2" water throughout rest of the house. a. Structural Hazards 1) Defective or deteriorating flooring or floor supports. Floor "gives" around kitchen stove and near entryway. Michael R. and Wanda T. Little Page 3 August 16, 1995 2) Portion of kitchen ceiling height lacks required minimum 7 foot height. b. Faulty Weather Protection 1) Defective or lack of weather protection for exterior wall covering, including lack of paint. 2) Broken rotten wall covering. C. Electrical Wiring - All wiring has not been in good condition. You have THIRTY (30) DAYS to provide a written action plan to our department to mitigate the above listed conditions. If you have any questions regarding this letter, please contact me at the above listed address or telephone number between ..8:.00 - 10:00.a.m. Monday..through Thursday, closed on Fridays. Sincerely, Jerome C. Tarmann, R.E.H:S. II Division of Environmental Health "JCT/sg/a:little cc: Building Department/D.S.,--* Code Enforcement �zf 1.5''4 COUNTY OF BUTTE-i;$EPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, California 95965 Telephone: 538-7541 a APPLICATION FOR SPECI�L, INSPECTION _ A. P. No. 5 /y _ .5.20' a� Mailing Addresslephone No -33 36 / 5 OAOy/Z-L� 9 -9tl _� .9" 9� Applicant �% Telephone No Mailing Address Building Location 't. I hereby request a special inspection of the following building: 1. Dwelling (if only a portion, specify) Q 2. Apartment House (if only a portion, specify) Q 3. Commercial (specify present occupan ) 4. Other (specify) I am requesting a -special inspection for the purpose of: 1. Moving the building. U2. Financing (specify agency) Case No. 3. Change of occupancy to 4. Other (specify)id, 4iQE I/ FD9 W,14 4.7 I•hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as a result of this inspec- tion, to comply with building and housing coderequirements. I also certify that prior to the use -or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify that I have read this application and state the above information is correct and hereby authorize representatives •of the County of Butte to enter upon the above- mentioned property for inspection purposes. C Date Signature of Owner Fee Paid $ Zan Receipt No. %��Q 1st-DPW/2nd-Inspector/3rd-Applicant N ,UTTE COUNTY BUILDING OFFICIALS JURISDICTION Block - - Parcel No. Detailed Evaluation Safety Assessment Form_; ,� Y BUILDING DESCRIPTION: OVERALL RATING: (Check One) Name: INSPECTED (Green) LIMITED ENTRY (Yellow) : ❑ - r Address: _V9T UNSAFE (Red) No. of Stories: I : Basement: Yes ❑ No Unknown ❑ Approximate Age: Years Approximate Area: Square feet Structural System: Wood Frame ❑ , Unreinforced Masonry ❑ Reinforced Masonry ❑ Tilt -up ❑ Concrete Frame ❑ Concrete Shear Wall ❑ ' Steel Frame [3 Other Primary Occupancy: Dwelling Other Residential C]Commercial ❑ Office ❑ ndustrial ❑ Public Assembly ❑ School ❑ Government ❑ Emer. Serv. ❑ Historic ❑ Other INSPECTOR: slq o.1 -74- Inspector ID Affiliation- 96A.'Qc- INSPECTION DATE: Mo/day/year Time am pm 2: 05 eA-1 D0- C 2 20 PX/\ Instructions: Complete building results below. evaluation and checklist on next page and then summarize Posting: Existing Recommended None ❑ Posted at this Assessment: Inspected (Green) ❑ ❑ X—Yes ❑ No Limited Entry(Yellow) ❑ ❑ xisting posting by: Unsafe (Red) ❑ Recommendations: ❑ No further action required ❑ Engineering Evaluation required (circle one) Structural Geotechnical Other ❑ Barricades needed in the following areas: ❑ Othg-r (galling hazard removal, shoring/bracing required, etc.): r-65TEI-2 7_6U0 GyQC/�l Comments (Why posted Unsafe, etc.): O PO SS // _4 ;� /�L�Cf>' L �GdEL&:4/C /l// L/ fo sheet _ 1 of A�O.JS r0 ti 61 /� S . ,,, t,., ,�ow h j b4 p;�•ro•�:n •�� c,,,:,, u,� jroo 3 rov'.� 5 kl'Tc�,�' �o✓S o° Ib� N r � Ike, � / • y - - — — — r o o rte.do ti-•! L ural S\ r o o »•. of a ..i• } � L) C-. A W; •,J APS oS9-5�o• o2/ 1\ Wlydo,J � W:rtdo,J L- : n1 0 r00 \ v 5� T- n h -- I f7l 3 15 C�Oor Oo,,s- A ti r " --7 J 4/173 ,u, O eatd /Let. p,re v APS oS9 5Ro • ax! I c� : ,ti "to ,J TJ e w county r. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 February 22, 1995 Michael R. & Twana B. Little 4173 Big Bend Road Oroville, CA 95965 RE: Code Violations A.P. #058-52-0-021. 4173 Big Bend Road, Oroville Dear Mr. and Mrs. Little: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location.. Failure to obtain the required permits, inspections and approvals from this office for construction of numerous buildings and installation of a travel trailer and construction of a cabana. Occupying buildings and travel trailer without the required approvals. The above violations shall be corrected or abated by repair, rehabilitation, demolition or removal by obtaining permits to do the required corrective work and paying the appropriate fees. After permit issuance, the work must be completed and approved by this office within the specified time: It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the. recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address or telephone number listed above. MCV:dms cc: Assessor Sincerely, L41_9 zt,6�� Mic ael C. Vieira, C.B.O. Manager, Building Inspection TO S� Oat e Time cl PM WHILE YOU WERE OUT of 2 q Phone Area Code N er fxter TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Mess 11 Operator i 0. S''T M A'.N' 4C200' 0 BUTTE COUNTY BUILDING OFFICIALS JURISDICTION Block Parcel No. Detailed Evaluation Safety Assessment Form BUILDING DESCRIPTION: Name: D VA -SH Address: 4175 ./,AIG No. of Stories: k Basement: Yes [I Nog Unknown ❑ Approximate Age: _ Years Approximate Area. Square feet Structural System: Wood Frame ❑ - Unreinforced Masonry ❑ Reinforced Masonry ❑ Tilt -up ❑ Concrete Frame ❑ Concrete Shear Wall ❑ Steel Frame ❑ Other _ Primary Occupancy: DwellingOther Residential C3Commercial ❑ Office ❑ dustrial ❑ Public Assembly ❑ School ❑ Government ❑ Emer. Serv.-❑ Historic ❑ Other OVERALL RATING: (Check One) INSPECTED (Green) LIMITED ENTRY (Yellow) ❑3. UNSAFE (Red) l� INSPECTOR O 1 -74 - Inspector -74- Inspector ID Affiliation INSPECTION DATE: Mo/day/year Time /f Ove , �f n 2 : 0S iolvl D0 -C 2;20 PX/\ Instructions: Complete building evaluation and checklist on next page and then summarize results below. Posting: Existing Recommended None ❑ Inspected (Green) C❑ Cl Limited Entry (Yellow) ❑ Cl Unsafe (Red) Cl Recommendations: ❑ No further action required ❑ Engineering Evaluation required (circle one) ❑ Baricades needed in the following areas:.! Posted at this Assessment Yes ❑ No Existing posting by: Structural Geotechnical Other ❑ 0th (falling hazard removal, shoring/bracing required, etc.): G�Tg,� 7GvU GUB_L/�` Comments (Why posted Unsafe, etc.): &/,v! 75' t�di/ ArW Y.,i/T/N e`A/,,4"14 �/f72--1L 4 --- Sheet - I of 0 . I ,�,�1q5 411 5 lb 16 L3&wu Kv - -i �3 �G 6g'ND 4175 CM3 AIJA- #2 po 10 w o" 7 Complaint -Date (] Ocher -Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZONING Owner :y/�C_�N /7'©,�V6 + A . P . �� —Sz 2/ Address: EA�� N!/F Date of Inspection/O Tenant: meq(- + Inspector Building Location: Type of Inspection requested: LY 1. Housing 2. Financing 3. Change of Occupancy to 4. Work W/0 Permit, / / 5. Other (specify)f��3 M Present use of building: Sanitation (Housin 1. Water closet: 2. Lavatory: ::Z (! 3. Bathtub or shower: >> 4. Kitchen sink: 14 'd' 5. Hot and cold water to fixtures: LACE 6. Heating facilities: A)I% e7'0c�C 4 -.0–d 7. Natural light and ventilation: P2ohiza 8. Room and space requirements: C6^16' 9. Bedroom window or door for second exit: _3, 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: A 7 12. Connection to water supply: LW_ 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, headroom, 1HR, Tolerances, 15. Comments: i%L/) T�� , APp�i� rails B. Structural 1. Piers and footings: 2. Floor construction: T,7 ISoP—':- &Ae.✓Ot/� .A< 3. Wall construction: 4. Ceiling and roof construction: CX 5. Fireplaces: m ft 6. Comments: ppGo�y< lArAe-F C. Electrical X7 r---,:, T i.. n -- '_P' 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: M D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas -heating vents: 4. Comments: E. Other .( 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: F. Commercial7to 1. Roof 2. Distaperty lines: 3. Physiicapped: 4. Restrand walls: 5. Exits 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or -Violations 1. Problem.or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B., Hold` for ten days, -then write letter. �C. Write letter. _ \ 1 / /-.D. Other: Ci C✓ �l`�...: �(JL'�aJ `3 Q c� .-�-f 4 - T ` .�• (��v� —LL)-- ;lam �; ✓ �zd1�;%_ G.. Ao �ly �' LIZ ��2� � j �/�=�G.��✓C.Y i�����, _ � �v � _.c.i �—' 9. i C,e v ell -90 , l2kcT - 1- PF I PF COUNTYOF BUTTE - DEPARTMENTOF DE�VELOPMENTSERVICES -BUILDING 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538,-A0 OWNER Proposed Building Use PERMIT APPLICATION DATA SHE Building Inspector N S- /S- ; p . / Date h At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED By 1, All items have been submitted. ........................ Plot plans, 3/4 sets, signed by preparer of plans. . . 3. C-emplet�i~ans, 3/4 sets, signed by preparer of plans. �...........1�. 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. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health 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. Pre -inspection for to Building Ins re for p required. . to Building Inspedor (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 Acknowledgemer t�Statement. ................... 25. Letter of signature authorization..........��.``........................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .. . 27. Letter of intent on building use. a/ ................. .................... 28, Mobilehome utility clearance. .!........ �� ' 29. Documentation of legal access..................:�....:....... rr....... . 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 y issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other? Parcel Creation �` 7 Acreage Applicant 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 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 Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works • . 4 ) txi tt i R♦ Ta h - _ 1' 1"•n i . 1 .i • i..e 'Lt}' - _ T s. ;� . r l.ai 3'��si is •a i ♦ h t / ♦ >, : t ♦ f n * « tot iaF "! ,• f t A ♦ 4 raw: Itfft �.•J'j 1. 1 , -•a ♦ 1 A f f 1 Y _♦ � v - t` •J4�• IN ax ,b tb•�T•{ i• �1�e\{i!A dThFN Y L�W 1r.111. )41 ii 1?U i'��LY 4 b t{ J n141 �i ar i} b! 1 a r•L 1'=FK }. rL•{1S.Lyy •j.��yl ! ALA Y^1 !' 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Oy Mr t •^srtt\L1 i f u 1 cit a f� �. y. i,.. i - t YL Y I a•lit -.I 4 a... - 1 a .o' -:.•i. a• •yyA,,�1'l•1Y"T s..r..1. ♦ A• ♦ 1 r I 1 . 1 ~ i + i L-L0.q iap2 }8`•,• i'td�&11 Itt. •'\ t fill ie I . � 71 4. . . . i4 LF ! i J: -t. ./ �f r - y a d! s' tr LSNv py t•�'i. II i• i w • • • aTA t♦.,D '! 'J- .e•! i..l � � , F • .. -• ., 1 e a1J O : , ;a► Ir.46 WNL• � w o� .t /29937 �c.ug 605 79 1. • rIL � . i.; t! �I COUNTY OF BUTTE- DEPARTMENT OFtDEVELOPMENT SERVICES - BUILDIN/DSION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 53PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-520-021 ZONINGBUI ,4Z ING PERMIT OWNER DARRO GRIECO T S333G SO. FT. OC BUILDING VALUATION OWNERS MAILING ADDRESSIs 319 - �n EST 2,000.00 CONTRACTOR'S NAME - _ / /�'� TELEPHONE CONTRACTORS MAILING ADDRRRESSSSS///V/`/// Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 4173 BIG BEND RD PERMITTEE $ 65.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other . SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK X New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: TOM BLI)GS 01 #3,4, 4, 5 Lir 6 (AS PTP, nil-, PLOT PLAN) Mobile Home IS I GI W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License aw or the following reason: 174-4, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. ) SO. 3.Sa F7. NEW CONST, MULTI-OUTLEUTLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FOCTURES) 20 Q 1.00 BAL .00 50 Ex. Occup, ounEE°TSPPUNS. OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc . Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �S_ Date _15 _j Signature of Applicant - Owner ❑ Co tractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee$ Energy Inspection Fee $ OCC CONST. TYPE FEE .00 $ 65 5 HAZ. D. FEES IMP FLOOD CDF PARCEL PD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated abov for which fees have PERMIT EXPI ES ON applicable provisions Resolutions to do work been paid. �j Q (Date) Receipt No. / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, 'California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMaQL O _ j ZONING BUILDING PERMIT OWNERTELEPHONE 1 SO FT. OCC. BUILDING VALUATION Jima OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 4 ARCHITECT OR ENGINEER LICENSE NO. - Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING AOD ss PERMITFEE S PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: )60 M n Q ";1Contractor Mobile Home S G W 920.00 PERMITFEE s ELECTRICAL PERMIT Filin Fee 20.00 O JA r N 06' IfMain Main Service eoov OR LESS ( zooA OR IFss ) 23.00 Service ( zooA TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No.Ex. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) SO. 3.5¢ Fr. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) zo 0 1.00 BAL 6 .50 Occup. (OUTLETSIXAPPLNS. OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures oveer/r��3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ �0 5 HAZ. 1 D. FEES IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON I the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No.�/� 7 WHITE-D.D.S.-B.15. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT cy- PC Cry lC c�✓��a� /SPY m,f� C41Z)� Demolition Permits Asbestos Notification Statement Date AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The.permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli— cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at nature of Applicant OR I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. =.� Signature of Applicant 2/19/91 i MAIL TO ASBESTOS NOTIFICATION EPA/NESHAPS Region IX 1235 Mission St. A-3-3 San Francisco, Ca. 94103 DATE: PROJECT JOB # (Please see reverse side) Agencies ALM Notified: O zeal ❑ California Air Resources Board ❑ cal OSWL BuUdiaq Dq rtmont T 17CTOTTnTTl11SC nu QLRJ'G`Q L'Ti! ASBESTOS DEMOLITION/RENOVATION 'NOTIFICATION please check one: Renovation Demolition requiring 10 day notice Demolition requiring 20 day notice Revision of Original (Form on reverse side) IDE—PLEASE READ BEFORE USING THIS EPA USE ONLY DateRec Pstmrk School Del/ND ADQUTE? Code#: Doc#: FORM 1. OPERATOR: 3. FACILITY NAME: (Contractor) ADDRESS STREET ADDRESS CITY STATE CITY STATE ZIP PHONE( ) COUNTY ZIP 2. OWNER 4. FACILITY DESCRIPTION ADDRESS CITY STATE AGE SIZE ZIP PHONE( ) PRIOR USE 5. Project Start Date: Completion Date: 6. Estimate of Friable Asbestos: ON PIPE: Linear Feet SURFACE OF OTHER COMPONENTS: Square Feet Nature of Materials: 7. DESCRIBE METHODS OF REMOVAL: 8. PROCEDURES USED TO COMPLY WITH 40 CFR 61.147 & 152: 9. NAME i LOCATION OF DISPOSAL SITE: ANY FURTHER PERTINENT INFO CAN BE INCLUDED BY ATTACHING ADDITIONAL SHEETS QUESTIONS??? FOR FURTHER INFORMATION CALL (415) 556-6415 8am/4pm M -F - FOR USE OF ASRERTOS DEMO IT Tr1N/Z2T.`t .TNSTkUCTIONS OVATTON rOTTFTCATTON FO..., . RENOVATION: means altering in any way one or more facility components. NOTICE MUST BE POSTMARKED AS EARLY AS POSSIBLEBEFORE PROJECT DEMOLITION: means the wrecking or taking out -of load -supporting structural members of a facility together with any related handling* operation - 10 Day notice for MORE than 160 sq.ft.or 260 linear ft. asbestos 20 Day notice for LESS than 160 sq.ft.or 260 linear ft. asbestos, includes facilities which contain no asbestos. FACILITY: means any institutional, commercial -or industrial structure, installation, or building. Renovations on single family residence_ and apartment buildings with 4 units or fewer are exempt from notification to EPA. - PROJECT JOB #: Your OWN IN-HOUSE I.D. for a specific jobsite. Optional, but expedites communication -concerning notifications. LOCAL AGENCY: Most areas in Region 9.have local NESHAP delegated agencies. In these areas notice must be provided to both EPA and the local agency. 1. OPERATOR/CONTRACTOR: Full.information concerning person doing the work. 2. PROPERTY OWNER: Complete in full. 3. FACILITY NAME: Must have complete address OR directions to the jobsite. 4. FACILITY DESCRIPTION: Current use of building. Project location in the facility. Other descriptive information as necessary. 5. START AND COMPLETION DATE: Provide month, day and year. Must be revised if dates change. (see revision form below) 6. Estimate of amount to be removed (must be in square or linear feet). Revisions(see form below) must be made for additional amounts uncovered. 7. Examples of methods: glovebag, scrape, remove in sections, etc. - 8. Examples: Adequate wetting prior to and during work, double bag, etc. DRY REMOVAL MUST RECEIVE PRIOR WRITTEN APPROVAL FROM EPA OR THE LOCAL DELEGATED AGENCY IF MORE SPACE IS NEEDED THAN PROVIDED, ADDITIONAL SHEETS SHOULD BE ATTACHED TO REVISE A NOTIFICATION ALREADY ON FILE WITH EPA, USE FORM PROVIDED BELOW PROJECT NAME PROJECT JOB I ORIGINAL NOTIFICATION DATE Revision Notice #1 2 3 4 5 please circle This is to advise that the above referenced notification presently on file has been revised. Please note the revised portion listed. CHANGES FOR THIS REVISION: 1. NEW Location 2. NEW Scope of Work 3. ADDITIONAL Quantity of Asbestos 4. -NEW Start Date 5. NEW Completion Date 6. NEW Disposal Site PROJECT ( ) CANCELLATION IR 3s� if 44 =F •'�" ;,�� r Mgr �'..(� '� � � � F -d- , Q ri ]io 4 g - � : own: /I//l-s7v r BUTTE COUNTY BUILDING OFFICIALS JURISDICTION iff5-r 4 1C� o v10 DtIIMAGe� REPO. -r- Block Parcel No. sof-s.�'A I Detailed Evaluation Safety Assessment Form •IDESCRIPTION: t� No. of Stories: Basement: Yes ❑ No Unknown ❑ Approximate Age: Years Approximate Area: Square feet Structural System: Wood Frame ❑ - Unreinforced Masonry ❑ Reinforced Masonry ❑ Tilt -up ❑ Concrete Frame ❑ Concrete Shear Wall ❑ ' Steel Frame ❑ Other Primary Occupancy: Dwelling Other Residential F1Commercial ❑ Office ❑ ndustrial ❑ Public Assembly ❑ School ❑ Government ❑ Emer. Serv. ❑ Historic ❑ other O`iERAU RATING: (Check One) INSPECTED (Green) ❑ LIMITED ENTRY (Yellow) ❑ UNSAFE (Red) INSPECTOR: Inspector ID SA 0 % -74 " Affiliation "qe4ng-�- INSPECTION DATE: Mo/day/year Time am pm 2 05 t0/4 too C 2;2� Instructions: Complete building evaluation and checklist on next page and then summarize results below. Posting: Existing Recommended None ❑ Psted at this Assessment: Inspected (Green) ❑ ❑ ❑ No Limited Entry (Yellow) ❑ ❑ >--(Yes xisting posting by: Unsafe (Red) ❑ Recommendations: ❑ No further action required ❑ Engineering Evaluation required (circle one). Structural Geotechnical Other ❑ Barricades needed in the following areas: ❑ Othtr (falling hazard removal, shoring/bracing required, etc.): P65 -r4- TGc�O �L�y�S Comments (Why posted Unsafe, etc.): _77/00 FOSS 16-6 � 166564- _ DGr/WU416 UNI 7'S' : / 15-M41- (_ G01006 F649�1 %Z Sheet of I Detailed Evaluation Safety Assessment Form (Continued) Instructions: Examine the building to determine if any hazardous conditions exisLi� yes" answer in categories 1, 2, or 4 is grounds for posting building UNSAFE. If condition suspected to be unsafe amici snore review is needed, check appropriate Unknown box(es) and ost LIMITED ENTRY. A "yes" answer in category 3 requires posting and/or barricading to in 'cate-AREA UNSAFE. Explain "Yes", "Unknown" findings and extent of damage under "C ents." azai-nous Condition 'st Hs, Condition 1. Structure Hazardous Overall Collapse/partial collapse Building or story leaning Other 2. Hazardous Structural Elements Yes No Unknown Co Foundations ❑ Roof/floors (vertical loads) s ❑ ❑ Columns/pilasters/corbels ❑ Diaphragms/horizontal bracing Walls/vertical bracing ❑ ❑ ❑ Foundations ❑ Roof/floors (vertical loads) s ❑ ❑ Columns/pilasters/corbels ❑ Diaphragms/horizontal bracing Walls/vertical bracing ❑ Moment frames H Precast connections ❑ Other ❑ 3. Nonstructural Hazards Parapets/ornamentation ' ❑ Cladding/glazing Ceilings/light fixtures all Interior ws/partitions ❑ Elevators ❑ Stairs/exits ❑ Electric/gas ❑ Other ❑ n 4. Geotechnical Hazards Slope failure/debris . Ground movement FO -1 SXKETCH: . . . . . . . . . . . . . . . . . . . . . Sheet -- of s ❑ ❑ ❑ SXKETCH: . . . . . . . . . . . . . . . . . . . . . Sheet -- of JG 4113 e lc SewO RO. 'Itz1&.5 92 f'�'o643GE- /LLE'Gfft ®u)6Zt1tiCS CM3 rM/,� �2 Name Reportii Address/Loca, Telephone Nu Why Calling? (Note: Medical Emergencies Refer to 911) Building Description Commercial/Usage rResidential Type a Unit_ PIIBLIC INFORMATION OFFICER`' 538-6953 DAMAGE REPORT FOR INITIAL ASSESSMENT FLOOD JANUARY 1995 Currently Occupied/Use Abandoned AA a5�. m2_n a a e� Sanitation Plumbing working Running water Well Flooded Obvious Problems Structure On/Off Foundation Floodin above/ elow floor Cs,LVP _ t a-17 1 Obvious leaning, tilting h b Severe Damage/Collapse Y -o Debris Hazard nL Gas Natural/Propane Obvious problems (odor, leaks, leaks, propane tank floating/submerged) Electric Any electrical submerged _ Obvious damage (failure, d wires, arcing) At-, Chemical/Fuel -: Wet, flooded, lost chemicals Type pesticide, fertilizer, other chemicals Amount Fuel tanks (above (6r ' -below ground) Obvious hazards Agriculture Loss Crop Damage Livestock Lost Building Damage Roads (Public) Road Name Obvious Damage/Hazards Location/Landmarks Traversable (Sedan, 4 wheel) _ Involved Utilities (downed wires) Levees Waterway Name Location of damage/problem Obvious hazards Nearest Landmarks Overflow/freeboard By Conies: 1. OES 2. Health 3. Building 4. Agriculture 5. Fire 6. Sheriff 10 i, LAN D OF NATURAL W E A L T H AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 October 26, 1999 Re: Special Inspection Number :'99-15 Assessors Parcel Number : 058-520-021 Jack Hoening 2224 Ceanothus, Avenue Chico, CA. 95926-1606 With reference to the above subject and your request for inspection of the proposed renovation of an existing single family residence at 4173 -Big Bend Road, Oroville CA., the inspection was made October 25,1999. The structure appears to have been constructed prior to building permit requirements and is in fair condition. A reasonable visual inspection was performed without going on the roof, under the building, or in the attic and the following items were identified, and must be completed or resolved: 1. Provide Environmental Health Department clearance and approval. 2. Provide a source of heat capable of producing a minimum of seventy degrees (F), three feet above the floor, per 1997 Uniform Building Code.(UBC) 3. Install smoke detectors per sec. 310.9 UBC. 4. Provide safety glazing in all doors and hazardous locations'per sec. 2406.4 UBC. 5. Provide conforming porches/stairs. 6. Repair roof with minimum "Class A" roof covering. 7. Provide conforming water heater including pressure/temperature relief valve. 8. Replace broken windows and seal outside air infiltration where. needed 9. Repair or replace d.w.v. piping, water piping, and plumbing fixtures as required. 10. Repair or replace electrical system as required, including bonding and grounding at the service and receptacles, bonding of interior metal piping, G.F.C.I. protection where required, and wire/breaker size. 11. Verify condition of floor system at raised areas, including access and ventilation. 1 i 12. Repair dry rot/insect damage. 13. Provide handrails at'stairs. 14. Provide plans and structural calculations (if req'd.) for all structural work to be done. 15. Comply with plan check items. Proposed conversion of single family residence to Agricultural Exempt building (over old creek channel): 1. Apply for Ag. Exemption Permit.. 2. Remove kitchen cabinets and cooking facilities. 3. Eliminate all fire/safety hazards, such as handrail at stairs, old wiring, safety glazing at hazardous locations, etc.. This inspection by the County of Butte does not act as a guarantee or warranty as to the internal soundness of said addition, conversion, or renovation. It is now in order for you to submit three copies of complete plans with calculations to this office including plot plans, floor plans and structural details, apply for the required permits, and pay the appropriate fees. The permits must be obtained prior to any work being done, and the above listed items completed within thirty (30) days of the date of this letter. Should you have any questions concerning this matter, please contact Scott Rutherford or David Wasney at the address or phone number listed above. Sincerely, Scott Rutherford Chief Building Inspector 2 rye. ,,. .. `�".R'A 7t'T' �1�8°F�3�r`� _r�`7a'3�.�*S�„� .� �. •;��p��k COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,-Oroville, California 95965 Telephone: 538-7541 yy APPLICATION FOR SPECIAL INSPECTION Owner f- s,! •C A P No ©S-A - S-A o -02 / Mailing Address _ Y (-e._�v>�►� e A -i Telephone No g� l 13ov S��cc Applicant 54 -aa Telephone No -5WE Mailing Address S Location L// 7 Z /3 � /Z o . _ __/ /2,1 1q) ./,. I hereby request a special inspection of the following building: 1. Dwelling (if only a portion, specify) 2. Apartment House (if only a.portion, specify) Q 3. Commercial (specify present occupancy) 0 4. Other (specify) I am requesting a special inspection for the purpose of: 1. Moving the building. 2.' Financing (specify agency) Case No. 3. Change of occupancy to �4. Other (specify) � Q��Z�i' /GD lle&r 14,1 i /25 i4 I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as a result of this inspec- t ion, to. comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building,,I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte- to enter upon the above- mentioned property for inspection purposes. r Date Signature of -Owner d dJ Fee Paid $ %®"' Receipt No. 1st-DPW/2nd-Inspector/3rd-Applicant .; r..c"",:fes'." •- r. � � - �. , �.. . :^R'.:�'^ . a'.. +``. �^i:��ii.�,.� `. _ `.''�_`�Y��'�1�, t+' •�.. : �E3"�•'r �'-..r.�,�. . r*y'� � 1 .. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, California 95965 Telephone: 538-7541 APPLICATION FOR SPECIAL INSPECTION Owner 41 n '-•,r,-�,P,. No.)O O -a / Mailing Address e G�> v Telephone No. Applicant �/�ti1� r4% ,1 ,, j" y J( Telephone No.� /� I r%• J V r Mailing Address v 4 • Building Location �z ,, , 'a /'_7,j f7p ry ✓� /!� r r I hereby request a special\inspection of the following building: 1. Dwelling (if '!O' y�xa portion, specify) 2. Apartment Hqj.jse_(if only ,ay',portion,, specify) Q 3. Commercial (specify Cpresent occupancy) Other (sped/A) r. tit• r 1 I am requesting a special inspection for the purpose `of 0 1. Moving the building.` ru f-✓�` J r 2. Financing (specify agency) Case No/ - 3. Change of bccupancy'to J .. J r IA�l �t✓4. Other���1l7(specify) �ELL �OIlSE _ � '7t5 /ala DISE RR�2R. VF e- ` _ 7u r . ,� , . Lt . I hereby certify that I will obtain the necessary, permits and make any necessary correc- tions, alterations, or repairs required by 4FeVCodnty of -Butte, as a result of this inspec- tion, to comply with building and fAu9in'g'ycode. requirements. also certify that prior to the use or occupancy,46P(this, buildi�e, - I .wille complete t e a ove required corrections, alterat,� or repairs, or, if the building is presently occupied, I will complete the above requl-`r--ed' correcitionsI a't%rations, or repairs within 30 days. I , certify that I have read this plicatin and sff��e he-6ove5information is correct and hereby authorize representatives of/-t`hJ--County of Butte to enter upon the above- mentioned property for inspection purposes. y Date / Signature of -'Owner Fee Paid $ % ® Receipt No. 1st-DPW/2nd-Inspector/3rd_Applicant -.j. -r- 058-520-Oil-I i 99m2552 HOENING, JACK 4173 BIG BEND ROAD, OROVILLE CONTR: OWNER , 1 REPAIRS, PER SPECIAL INSP LETTER OFFICE COPY Address Y/, ELECTR C M&ter B J&�Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT IVO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER .JACK f-jU�.2�1ZItit; 58- ZONING BUILDING PERMIT OWNER 'THOM,E+jC) SO. FT. OCC. BUILDING VALUATION OW UNG ADDRESS ,r4 CLAtMEUS AVE,CHICA 55926 CONTRACTORS LR O iTLR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER , Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ I AD RES BUILfIG y�' l (� J aii OROVIL Energy Plan Checking Fee $ $ PERMIT FEE $ 74.00 LAT 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: -4;9 ' PER ::P%CIAL 13S?FCI1!UN LETT l �Jfl 1i ` f') Gas piping system 1 - 5 outlets 15.00 Building sewer 15.0015.00 v Mobile Home I S I G I W @20.00 PERMIT FEE $ 129.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service .OA oR LESS 23.0093.00 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: • Imo, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed'. Contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING Occup. OR ADDNS. ( a ACC. BLDS. so 3.50FT. t . MULTI- OUTLET NjON-Ralp 97,50 POWER APPARATUS a sINGLE ot1TLET C'R. Ex. Occup. OUTLET OR FDcruREs 20Q1.00 BAL .50 Ex. Occu . o unt-OTs RESID.oEA 5.00 Temporary Service 23.00 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) � I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. a X l Date y / Sigrya ure of Applicant - ❑ Owher ❑ Contractor ❑ 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 $ 26ti . JiJ HAZ. � D; FEES IMP �� FL i CDF PARCEL / PD H ISSU /F This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been ' By Date PERMIT EXPIRES ONGG(✓ ' provisions to do work paid. ate ReceiptNo. ,Z v o 7 J G WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 12. Repair dry rot/insect damage. 13. Provide handrails at stairs. 14. Provide plans and structural calculations (if req'd.) for all structural work to be done. 15. Comply with plan check items. Proposed conversion of single family residence to Agricultural Exempt building (over old creek channel): L� 1. Apply for Ag. Exemption Permit. 2 Remove kitchen cabinets and cooking facilities. 3. Eliminate all fire/safety hazards, such as handrail at stairs, old wiring, safety glazing at hazardous locations, etc.. This inspection by the County of Butte does not act as a guarantee or warranty as to the /1 internal soundness of said addition, conversion, or renovation. It is now in order for you to submit three copies of complete plans with calculations to this office including plot plans, floor plans and structural details, apply for the required permits, and pay the appropriate fees. The permits must be obtained prior to any work being done, and the above listed items completed within thirty (30) days of the date of this letter. Should you have any questions concerning this matter, please contact Scott Rutherford or David Wasney at the address or phone number listed above. Sincerely, Scott Rutherford Chief Building Inspector 2 7 October 26, 1999 Re: Special Inspection Number: 99-15 Assessors Parcel Number: 058-520-021 Jack Hoening 2224 Ceanothus Avenue Chico, CA. 95926-1606 With reference to the above subject and your request for inspection of the proposed renovation of an existing single family residence at 4173 Big Bend Road, Oroville CA., the inspection was made October 25,1999. The structure appears to have been constructed prior to building permit requirements and is in fair condition. A reasonable visual inspection was performed without going on the roof, under the building, or in the attic and the following items were identified, and must be completed or resolved: 1. Provide Environmental Health Department clearance and approval. 2. Provide a source of heat capable of producing a minimum of seventy degrees (F), three feet above the floor, per 1997 Uniform Building Code.(UBC) 3. Install smoke detectors per sec. 310.9 UBC. 4. Provide safety glazing in all doors and hazardous locations per sec. 2406.4 UBC. 5. Provide conforming porches/stairs. 6. Repair roof with minimum "Class A" roof covering. 7. Provide conforming water heater including pressure/temperature relief valve. 8. Replace broken windows and seal outside air infiltration where needed 9. Repair or replace d.w.v. piping, water piping, and plumbing fixtures as required. 10. Repair or replace electrical system as required, including bonding and grounding at the service and receptacles, bonding of interior metal piping, G.F.C.I. protection where required, and wire/breaker size. 11. Verify condition of floor system at raised areas, including access and ventilation. ,058-520-021 PERMIT#95-1237 - GRIECO, Darro 4173 Big'Ben-Rd.,, Oroville Demo 4 Bldgs/SxF- r. J s f Y f' 6 4 �t r, P ,r is �f - PW COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGD SION 7 .County Center Drive - Oroville, California 95965 - Telephone (9-16).5,3 8- 41 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-520--021 ZONING fe Z BU![NGPERMIT OWNER DARRO GRIEGO TELEPHONE 3 3G FT. OCG/ BUILDING VALUATION OWNER'S MAILING ADDRESS 3.s f�� /W/ /J� jS�O.. +�+ 000.00 CONTRACTOR'S NAME 044// TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESSFiling q Fee $ 20,00 Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4173 BIG BEND RD PERMITFEE $65 00 -- PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNIS ION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑Y Duplex ❑ Mobilehome ❑ Other SPECIFY= Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 1_5.00 TYPE OF WORK c, New ❑ Addition ❑ Remodel ❑ Utilites ❑ Installation ❑ Other Describe Work: DEMO BUGS 0 43, 4, 5 & 6 (AS FER OTIR PTOT PIAN) Mobile Home S G W @20.00 PERMITFEE $ Contractor � ELECTRICAL PERMIT Filina Fee 20.00 Main Service / a OR LESS 2ooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes"signs 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 Licente aw or 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPOUTALET CRATUS ) 8 SINGLE IR. Ex. Occup. (OUTLET OR FIXTURES) 20 0 I.50 �L Ex. Occup. ( GunEE(RESOD.) °Ts R ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation .� of one hundred dollars ($100) or less.) EIN 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 t _,�,� Q Q �__ �""_�2`—� % Pic � / _ �— Signature of Applicant - l7'Owner ❑ Co tr for ❑ Agent '--I An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. ` Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 65.00 HA2. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have � ./i 1 �`�`1�.� B y PERMITEXPI ESON applicable provisions Resolutions to do work been paid. , (Date. � 1�4r (Date) Receipt No. 'f r( _ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ❑ FtE C N 687083 NAME VVu DATE ADDRESS CITY PHONE TW i6 TIME IN TIME PROMISED FRAMES 0 12 1:115 132o ROLL FILM -LIMIT 1 REPRINTS/ENLARGEMENTS FILMTYPE ASA SUE NO. OF NEG. NO. DUAN. NEG. STRIPS El KODACOLOR 0 109' 0 DISC 0 U FUJICOLOR 4 0 -7f ❑ VERICOIJ R [140( ❑ El KqMCA C-1100 >� ;;d,� 3 M E] ❑ OTHER NO. 0 PRINT SPECIAL ❑ 110 0 REPRINTS 0❑J.1 Ad 1:15x7 � 45 0 8XI0 r_1 - L -i 8x12 11X14 cc.. .02= NO. DATE ot N 6 a T Iw IL 4,.::, L TOTAL P. 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