HomeMy WebLinkAbout061-450-030o.liert Young
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Rock Rd. , Berry Creek
Permit ��3520=80P,E(5uti1.4MH)
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Permit #35.2 80 � I
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YOUNG, =CT -.9
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41 MAD B.0
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GRADE ELECTRIC SER.
1 B08-0856 061-450-030
t MISCELLANEOUS Demolition
f DEMO FOR RAMADA & CABANA
41 MADALEIN CT
YOUNG, RICK J REVOCABLE LIV
B08-0857 061-450-030
{ MISCELLANEOUS Electric Panel
NEW ELECTRICAL SERVICE FOR MC.
1 f ' 41 MADALEIN CT
f YOUNG, RICK J REVOCABLE LIV
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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
PROJECT INFORMATION
Site Address: 41 MADALEIN CT
Owner:
Permit No: B08-0856
APN: 061-450-030
YOUNG, RICK J REVOCABLE
Issued Date: 05/12/2008 By TMP
Permit type: MISCELLANEOUS
PO BOX 1923
Subtype: Demolition
RICHMOND, CA 94802
Expiration Date: 05/12/2009
Description: DEMO FOR RAMADA & CABANA
(530) 933-5993
Occupancy: Zoning: U 85
Contractor
Applicant:
Square Footage:
YOUNG, RICK J REVOCABL]
Building Garage Remdl/Addn
PO BOX 1923 -
RICHMOND, CA 94802
Other Porch/Patio Total
(530)933-5993
FEE INFORMATION
DBMSC Demolition $59.00
Total Charged: $59.00 Fees Paid: $59.00
Balance Due: $0.00 Receipt No: B7304
LICENSED_ CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION -
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER ?ENALTY 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
pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 05/12/2008
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractor's Signature Date
I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work: for which this permit is issued.
improve for the purpose of sale.).
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractors License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
Carrier: Policy Number: Exp. Date:
(This section need not be competed if the permit is or one hundred dollars ($100) or Tess.
y�
❑ I AM EXEMPT under Section B. & P.C. for this reason:
I V I I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
L�,J ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation Law f Calif , and a e that if I should become subject to the workers'
X 05/12/200$
compensation pr is' ns of S tion 7 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions. %�
X ` 05/12/2008
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signa.... Date
WARNING: FAILURE TO SECURE WORKERS' CO PENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte Coun ty, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to eater t above m tioned property for inspection purposes. I hereby certify that I am the
grope o ner o a}� a ith ri ed to', a,ct ,onA the property owners behalf.
1( ` O wV l 05/12/2008
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
0 Owner 0 Contractor ()R Agent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTIL.L THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1. I PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMP�ROVEMENT. �OR NO)
2. I HAR Vr�VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
ADDRESS CITY
PHONE CONTRACTORS 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
Description: DEMO FOR RAMADA & CABANA
Reference Number: B08-0856
Applicant Name: YOUNG, RICK J REVOCABLE LIV
Owner's Name: YOUNG, RICK EV E LIV AP # : 061-450- 30
Signature of Property Owner: Date:
i
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION"
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
PLEASE PRINT CLEARLY
PERMIT
NO.
�1
BIN #
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
PROJECT LOCATION
OWNER INFORMATION
Last Name �,
Q UA14
First Name
�U
City
l
Mailing Address
Cityt
0�
State
E-mail
Phone O
_�5 9Fax
E-mail -
Phone,,—, O
PROJECT LOCATION
CONTRACTOR
Name
Flood Zone
Address
�U
City
L
State
Zip
Phone
Fax
E-mail
Lic. #Class
PROJECT LOCATION
ARCHITECT/ENGINEER
Name
Flood Zone
Address
�U
City
L
State
Zip
Phone
Fax
E-mail
State License Number
PROJECT LOCATION
APPLICANT INFORMATION
Name
Flood Zone
City
�U
Address
L
Occ.
a--
City \
StateCO,
Zip
,
Phone,,—, O
,
Fax
E-mail
PROJECT LOCATION
Zoning
Property Address
Flood Zone
City
1
W
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than licensed contractors, a certificate of
worker's compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK.
Zoning
` clv_l 4 0
Flood Zone
SRA
I Yes
L
Occ.
Sq FT- Living Garage Open Cov
Structure Built without Permits
O Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
I Yes
No
Occ.
Type Const.
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
FEE INFORMATION
DBE Single Phase Service-Resid $59.00
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X 05/12/2008
Contractor's Signature
Date
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 is issued.
rl I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
—JJ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Carrier:Policy Number: Exp. Date:
(This section need not be completed if the permit is oror on�dreddodollars ($100
VI 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'
compensates provions of prion 3700 of the Labor Code, I shall forthwith comply with those
IR,
05/12/2008
WARNING: FAILURE TO SECURE W KERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lenders Address City State , Zip
total t nargea: "y,11,1111,11 tees Yata:
Balance Due: $0.00 Receipt No:
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractors License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
V1. 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 Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof 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 License Law down not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
❑ I AM EXEMPT under Section B. & P.C. for this reason:
1
05/12/2008
Date
I hereby certify that 1 have read this application and state that the above information is coned. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
grope owner •ram a h rized to act on the property owners behalf.
(� & U- iA & 05/12/2008
` Owner ❑ Contractor QR.• ElAgent for Owner ElAgent for Contractor
FILE COPY
PROJECT INFORMATION
Site Address:
41 MADALEIN CT
Owner:
Permit NO: B08-0857
APN:
061-450-030
YOUNG, RICK J REVOCABLE
Permit type:
MISCELLANEOUS
PO BOX 1923
Issued Date: 05/12/2008 By TMP
Subtype:
Electric Panel
RICHMOND, CA 94802
Expiration Date: 05/12/2009
Description:
NEW ELECTRICAL SERVICE FOR
(530) 933-5993
Occupancy: Zoning:U 85
Contractor
Applicant:
Square Footage:
YOUNG, RICK J REVOCABLI
Building Garage Remdl/Addn
PO BOX 1923
RICHMOND, CA 94802
Other Porch/Patio Total
(530)933-5993
FEE INFORMATION
DBE Single Phase Service-Resid $59.00
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X 05/12/2008
Contractor's Signature
Date
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 is issued.
rl I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
—JJ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Carrier:Policy Number: Exp. Date:
(This section need not be completed if the permit is oror on�dreddodollars ($100
VI 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'
compensates provions of prion 3700 of the Labor Code, I shall forthwith comply with those
IR,
05/12/2008
WARNING: FAILURE TO SECURE W KERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lenders Address City State , Zip
total t nargea: "y,11,1111,11 tees Yata:
Balance Due: $0.00 Receipt No:
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractors License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
V1. 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 Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof 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 License Law down not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
❑ I AM EXEMPT under Section B. & P.C. for this reason:
1
05/12/2008
Date
I hereby certify that 1 have read this application and state that the above information is coned. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
grope owner •ram a h rized to act on the property owners behalf.
(� & U- iA & 05/12/2008
` Owner ❑ Contractor QR.• ElAgent for Owner ElAgent for Contractor
FILE COPY
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial"
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
I PERSONALLY PInO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. S R NO)
eHAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED:
NAME ADDRESS PHONE TYPE OF WORK
Description: NEW ELECTRICAL SERVICE FOR MOBILE HOME & WELL
Reference Number: B08-0857
Applicant Name: YOUNG, RICK J REVOCABLE LIV
Owner's Name: YOUNG, RICK J C B LIV AP # : 061-459-030 Q�
Signature of Property Owner: Date: p
/
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION /,
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ERNT o.
(Rev. 12/96) APPLICATION AND PERMIT 4y"_ 79
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PER ' IT
OWNER \
r�
TELEPHONE f
sJc_X- lu
SQ. FTOCC B
DING VALUATION
. OWNER'S MAILING AD KESS
P 0 BO 1923, RIGM540-ND QA 94809
CONTRACTOR'S NAME
TELEPHONE
C.�MM NO ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Val at n $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing F
$ 20.00
Permi Fe
$ -
ARCHITECT OR ENGINEERS MAILING ADDRESS
Pla Ch ckin Fee
$
BUILDINGADDRESS
41 MADALEIN CT, BERRY CREEKg
Er/erg/Plan Chockin Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome O� 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 O Remodel ❑ Utilities O Installation O Other
Describe Work: UEGRADE ELEC SER
Gas piping system 1 - 5 outlets
15.00
sewer
15.00
—Building
Mobile Home I S G W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service A OR LESS
23.00 23.00
LICENSED CONTRACTOR'S DECLARAT ON
I hereby affirm under penalty of perjury that I am licensed un er provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Busin ss and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLAR ION
I hereby affirm under penalty of perjury that I am axept from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees wi wages as their sole compensation,
will do the work, and the structure is not in nded or offered for sale.
�J I, as owner of the property, am exclusivel contracting with licensed contractors
/ to construct the project.
❑ 1 am exempt under Sec. usiness and Professions Code for this
reason
WORKERS' COMPENTION DECLARATION
I hereby affirm under penalty of perjury o e of the following declarations:
O 1 have and will maintain a ce cafe of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of thework for w Ich this permit is issued.
❑ 1 have and will maintain works ' compensation Insurance, as required by Section
3700 of the Labor Code, for performance of work for which this permit is issued.
My workers' compensatio insurance carrier and policy number are:
Carrier
Policy Number
(The above sections ne d not be completed if the permit is for work of a valuation
of one hundred dollar ($100) or less.)
'� I certify that in the pe ormance of the work for which this permit is issued, I shall
not employ any p son 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
forth coryply 'th thosil provisions.
X 1`7Date G7
Signatu a of Applicant - Owner O Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO I000A
46.00
NEW CONST. DWELLING OCCUP. SO
OR ( s ACC. BLOB. 3.5Q�;
CONS
NOKRESID. MULTI -OUTLET @7.50
POWER APPARATUS
6 SINGLE OUTLET CIR.
20 0
Ex. Occup. OUTLET OR FIXTURES BAL @ .50
Ex. Occup.OFUT>E�sR. DE, 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00
PRE INSP 23.00
PERMIT FEE $ 66.00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FES $
Mobile Home Installation Fee Is
Energy Inspection Fee $
Occ
CONST. TYPE 66.00
TOTAL FEE $
HAZ.
I D. FEES IMP
I FLOOD
I CDF
PARCEL
PO
I HD
I ISSUE
This permit is hereby Issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No. 281108
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 2 MIT N
(Rev.IM6) APPLICATION AND PERMIT W.
NSWORPARC6.NUMe61
WNW
BUILDING PERMIT
°iM"a" 0 /w
iQ17
SD. FT. OCC. BUILDING VALUATION
CwN611 10" G AOOP7
, r
OONrI AMWS NAI!
Ela►gNE
CONTRACT0111 MALM ADOR[p
CONITRUCT" 10061
LENDER'S MALM,WAM
Fireplace
Total Valuatlon $
ARaNrtEcr on EMMINeER
UCEMSE NO.
Flin Fee
$
20.01
Permit Fee
$
AACW= oR WME01S "Aura AD
T
Plan Checking Fee
DJLD 1OAD0RAWI
Energy Plan Checking Fee
$
i
PERMIT FEE _
1oTN0.
eUeONl10N1NAM
PARCEL KAP
PLUMBING PERMIT
Fling Fee
20.0(
USEOF TRUCTURE
SF O Duplex O Mobilehome Other
°Pwry
Each Trap
7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent
15.00
TYPE OF W9RK
New O Addition O Remodel O Wales 1nstalatknl O Other O
Describe Work: ,f
Gas piping stem 1 - 5 outlets
15.00
Building sewer 15.00
Mobile Home I S G W @20.00
PERMIT FEE _
ELECTRICAL PERMIT
Filing Fee
20.0(
Main Service ,00 o0R u<n
23.00
,
_ .......... _ _..----•__-- //% //j
/
/
Main Service 20A TO IOWA
46.00
WaLM 30.
OR AD ONs. i Act. efts. 3.Stir.
NEW CONST. OMUMO
NEW CONST. TLEr
NOKRE910. agAmm cocurrs @7.50
POWER APPARATUS
L 4 OtnW CIA.
EX. Occup. o1rnET OR PWRUREs m O I.00
eAL .SO
EX. Occup. lfnET9 �O AMIE3 O.)EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
i— 1&AO
0,cc
PERMIT FEE $
660
MECHANICAL PERMIT Fling Fee
20.0(
Cooling
Hood 6.50
Ventilation
PERMIT FEI !
Mobile Home Installation Fee S
Energy Inspection Fee S.
occ
CONST. TYPE TOTAL FEE _
NA2. 1 0. RES I IMP I FL660j COi I PARCEL PO
NO I ES!
This permit is hereby Issued under the applicable provision:
of the Butte County Code end/or Resolutions to do WOO
indicated above for which tees have been paid.
By Date �--
PERMIT EXPIRES ON
PRE -INSPECTION .REPORT
OWNER:
LOCATION:
CONTRACTOR:
PRE-INSPETION FOR:_Z!�-z4�el
DATE TO INSPECTOR:
Building Description:
Commercial/Usage:
Residential/# of Units:
Currently Occupied
AbandonedNacant
Electric:
Yes No
Condition of Electric
Gas:
DATE:
A.P.
ZONING:
PERMIT HISTORY:( .) NONE KAS FOLLOWS:
BUILDING INSPECTOR'S REPORT
Electric currently On.
Off
Natural Propane None _ Currently On Off
Obvious Problems:
Sanitation:
Plumbing Working
Well Working Potable Water
Obvious SewageProblems
Comments:
ACTION RECOMMENDED: ISSUE:
Inspector:_ �; ---1 %
HOLD FOR
Date_ /z/��
Sketch buildings on reverse and indicate location on property.
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OWNER: 'MUA!L I r(t,-') T
LOCATION: aJod40 i Vk_ O VCU
SiF -z
DATE: 412,
A.P.#: iO b .I q,50 '05D
CONTRACTOR: ZONING: V
DATE TO INSPECTOR: PERMIT HISTORY: [ ONE [ ]AS FOLLOWS:
TYPE OF OCCUPANCY:
,ng Description:
[ ] Commercial/Usage: _
( ] Residential/# of Units:
[ ] Currently Occupied.
[ J AbandonedNacant.
[ ] Yes [ ] No
Electric is currently : [ ] On
Condition of electrical?
BUMDING INSPECTOR'S REPORT
[ ] Off
Mobile Home: Yes[ ] No[ ]
Natural [ ] Propane[ ] None[ ' ] Currently On[ ] Off[ ]
Obvious problems:
itation:
Plumbing working
Yes[ J No[
Well: Yes[ ] No[ ]
Obvious Sewage Problems:
Potable water: Yes[ ] No[ ]
ion of Damaged Area:
,� � cat � a .,��•_ a �� _ �� tf'. ir-'
mate valuation of Damaged Area:
lector: a z.
a
Date:
e-
I
MR
RAINTOTAL
CDF/BCIFD DAILY INCIDENT LOG PAGE=OF
nAvinATF FRAM nRninl .- I I C1 nevmerc rn n>ann _ i
—
TIME
WC1pEp TNO
v
LOGGED y
L"Ar"
ig
CASE NO
FIRE NO
RO
LOCATION
VEGETATION
FALSE
PUBLIC DART
L�
ALARM
ASSIST
R.P PHONE NO
STRUCTURE
IMPROVE.
ASSIST RESCUE
( /
5/(/
MENT
FRE NAME WRA B.I.
VEHICLE
HAZMAT
MEDICAL OT►M6t
�v
M�
STARTTIME CAUSE LAND USE DAMAGE SAVE
REFUSE
t-_r.CON
TIC
SiAT1�N OFi10Eit REPORT TIME WCIOEMNO
/ `16
LOGGED BY
o/ -..3-? F
/91 r
CASE NO FIRE NO
R.O. n'
LOCATION
VEWATION
FALSE
ALARM
PUBLIC
ASSIST
DART
R.P. PHOWNO
STRUCTURE
IMPROVE-
ASSIST
RESCUE
FRE NAME WRA BLL
VEHICLE
HAZMAT
MEDICAL.
OTHER
7-
M6C
STARTTIME CAUSE LAND USE DAMAGE SAVE
REFUSE
HAZLON
TIC
STATION AMBULANCE OFFICER
REPORT TIME 1NCCe4TNO
LOGGEDBY
e 19-
Ud
CASE NO FRE NO
RO.
LOCATION
VEMATION
FALSE
ALARM
PUBLIC
ASSIST
DART
RP. PHONE NO
STRUCTURE
IMPROVE-
MEW
ASSIST
RESCUE
FRE NAME WRABLL
VEHICLE
HAZMAT
MEDICAL
OTHER
M1SC
STARTTIME CAUSE LAND USE DAMAGE SAVE
REFUSE
HAZCON
TIC
STATION AfMU ANCE OFFICER
REPORT TIME
''� �°
LOGGED BY
2 /
D /�
//O ` Z-
_
CASE NO
FREAe2
RO��
L
VEGETATION
FALSE
PUBLIC
DART
ALARM
ASSST
R.P. PFIDNE NO. (
STRUCTURE
IMPROVE-
ASSIST
RESCUE
R A✓11� r t g� 3 I (
: METdT
M NAME WRA ELL
VEHICLE
HAZMAT
MEDICAL
OiNER
WSC
STARTTIME I LAND USE DAMAGE SAVE
REFUSE
HAZ=N
TIC
0150 c7>= j� r✓�, ,
STATION I AMBULANCE OFFICERREPORT
NO
LOGGED BY
D
o3s�
�
CASE NO
FRE NO
R.O.loKe't
LOCATIONVEGETATION
FALSE PUBLIC
DART
2
ALARM ASSIST
0.P. Rt4ONE NO.
STRUCTURE
IMPROVE- ASSIST
RESCUE
iJ /
(/
MENT
RRE NAME WRA B.I.
VEHICLE
HAZMAT
OTHER
OWICAL
M1SC
$TARTTIME CAUSE LAND USE SAVE
REFUSE
HAZCON TIC
Mar -10-97 15:25 CDF Fire Prevention BTU
(t.
916-538-2105 P.01
' BCFL VOLUNTEER
FIRE COMPANIES
BANGOR
BIGGS
BUTTE CREEK CANYON
BUTTE MEADOWS
CHEROKEE
CLIPPER MILLS
COHASSET
DOSABLA
DURHAM
FEATHER FALLS
FOREST RANCH
GOLDEN FEATHER
GREATER GRIDLEY
IELLV RIDGE
MAGALIA
NORTH CHICO
PALERMO
PENTZ VALLEY
PIONEER
RICHVALE
ROBINSON MILL
STIRLING CITY
THERMALITO
BC FO FULL-TIME
FIRESTATIONS
BANGOR
BIGGS
DURHAM
GRIDLEY
KELLY RIDGE
NORD
NORTH CHICO
DROVILLE
PALERMO
RICHVALE
SOUTH CHICO
UPPER RIDGE
CDF FIRE STATIONS
BUTTE MEADOWS
COHASSET
FEATHER FALLS
FOREST RANCH
HARTS MILL
JARBO GAP
OROVILLE HO
PARADISE
ROBINSON MILL
STIRLING CITY
BUTTE FIRE CENTER
MAGALIA
REFORESTATION
NURSERY
DAMS
MAGALIA
AIR ATTACK BASE
CHICO
FIRE LOOKOUTS
BALD MOUNTAIN
BLOOMER HILL
PLATTE MOUNTAIN
SAWMILL PEAK
SUNSET HILL
ALSO PROUDLY SERVING
CITY OF BIGGS
CITY OF GRIDLEY
Scott Johnson
Code Enforcement
FAX #: 538-214T 71 SS
Y•
.AND OF NATURAL WEALTH AND REALITY
BUTTE COUNTY FIRE DEPARTMENT
CALIFORNIA DEPARTMENT OF FORESTRY
AND FIRE PROTECTION
"Sixty-four Years of Cooperative Emergency Services"
176 NELSON AVENUE — OROVILLE, CALIFORNIA 95965-3495
TELEPHONE (916) 538.7111
FAX: (916) 538-7401
March 9, 1997
Incident #: 96-11842,96-11857
Fire #: 824,825.
Location: 41 Madelin Ct., Berry Creek
Attached are the Fire Reports (FC -18) as per your January 13, 1997
request. We apologize for the delay in returning this report to you.
The fees for these reports are waived for your department.
If we can be of any further assistance, please do not hesitate to contact
our office at (916) 538-7888.
Sincerely,
William Hoehman
Acting Unit Chief
by:Linda Galvan
Office Technician
Fire Prevention Bureau
attachment
Planning Department
MAR I U 1997
Oroville, California
Mar -10-97 15:25 CDF Fire Prevention BTU 916-538-2105 P_02
Sun Mar 9 10:13:33 1997 PAGE 1 of 4
FC -18(1/91) DEPARTMENT OF FORESTRY AND FIRE PROTECTION FIRE REPORT
State: CA Year: 1996 Incident #: BTU -011842 Fire #: 00824 Exposure #: 000
Fire Name : MARY JANE
FDID : 04555,CDF, BUTTE COUNTY
State: CA,,CALIFORNIA
Order Agency/#: BTU -011842
Protct Resp: 1.1 ,STATE ZONE-CDF DPA, ,STATE
Year: 1996
Auto -Mutual -Aid : 8 ,NO AUTOMATIC/MUTUAL AID RECEIVED OR PROVIDED
Situation Found #1: 11.0 ,STRUCTURE FIRE; NOT INCLUDED IN #12.0 OR #13.0
Situation Found #2:
Situation.Found #3:
Situation Found #4:.
Incident Address Location: 41 MADELEIN CT BERRY CREEK, CA
RM/Apt: Zip Code : 95916
Census 0000.00 ,CENSUS TRACT UNDETERMINED OR NOT REPORTED
Temp 42 Dispatch Level:
Weather: 3 ,RAIN
Code:
Name(Last, First Mi): Addr:
Rm/Apt: City: State: Zipcode:
Telephone Number :
Code:
Name(Last, First Mi):
RM/Apt: I City:
Telephone Number
1/4 Section: NE Sec.: 26
Base/Meridian: M ,MT. DIABLO
Addr:
State:
Township: 21 NIS: N
Zipcode:
Range: 05 E/W: E
Response Area: G2 Battalion : 05 FHSZ OOOOO.Z
Prop Mgmt : 1 ,PRIVATE TAX -PAYING PROPERTY
General Property Use : 41 ,ONE- OR TWO-FAMILY RESIDENTIAL USE
Specific Property Use: 411 ,ONE -FAMILY DWELLING: YEAR-ROUND USE
Building Code : R-30 ,DWELLINGS AND LODGING HOUSES
Structure Status : 2 ,IN USE W/FURNISHINGS IN PLACE, PROPERTY BEING USED
Occupied : 1 ,STRUCTR OR VEHIC OCCUPIED AT TIME OF INCIDENT
Mobile Property : 98 ,MOBILE PROPERTY TYPE NOT APPLICABLE
Yr Make
Model
License # St
IF
MOBILE-------------.--------------------------------------------------------
PROPERTY Vehicle Identification Number Permit # Drivers License # St
INVOLVED
Mar -10-97
15:25
CDF Fire Prevention BTU
916-538-2105
P.03
Record ID
Yr -1996
Inc# -BTU -011842 Fire# -00824
Exp# -000
2 of 4
SECTION B Date and Time
Estimated Start . .
. . . 12/30/1996
01:50:00
First Report . . . .
. . . 12/30/1996
02:18:00
Method of Alarm 7
,TELEPHONE TIE -LINE
TO FIRE DEPARTMENT (911 SYSTEM)
Lookout
Second Report
Method of Alarm
Lookout
First Enroute . . .
. . . 12/30/1996
02:28:00
First On Scene . . .
. . . 12/30/1996
02:34:00
Contained . . . . .
. . . 12/30/1996
03:00:00
Controlled . . .
. . . 12/30/1996
03:30:00
End Time . . . . . .
. . . 12/30/1996
06:29:00
SECTION C Casualty
------------------------------------------------------------------------------
Fire Service ........... Injuries:
0 Fatalities: 0
Non -Fire Service ...........
Injuries:
0 Fatalities: 0
SECTION D Completed for all fires
Billable Fire : No
Type Action Taken #1: 13 ,EXTINGUISHMENT, SALVAGE AND OVERHAUL
Type Action Taken #2: 71 ,INVESTIGATE
Type Action Taken #3:
Type Action Taken #4:
Area of Origin : 43 ,SUPPLY STORAGE ROOM OR AREA
Level of Origin : Al
Horz Distance From Origin:
Equip Involved in Ig: 47 ,CORD, PLUG
Form of Heat 34 ,UNSPECIFIED SHORT CIRCUIT ARC
Certainty 2 ,ALMOST CERTAIN
Factor. 53.0 ,SHORT CIRCUIT, GROUND FAULT
Certainty 2 ,ALMOST CERTAIN
Contributing Factorl:
Contributing Factor2:
Resp Person-Occptn#1:
Sex #1:
Occptn#2:
Sex #2:
Occptn#3:
Sex #3:
Type of Material Ign:
Certainty
Form of Material Ign:
Certainty
Method of Extinguish:
violation -Section #1:
Code #1:
Violation -Section #2:
Code #2:
Age #1.
Age #2:
Age #3:
43 ,FLEXIBLE PLASTICS
3 ,MOST PROBABLE
61 ,ELECTRICAL WIRE, CABLE INSULATION
2 ,ALMOST CERTAIN
5 ,WATER ON APPARATUS INITIALLY ASSIGNED TO INCIDENT
IF EQUIP INVOLVED -YR: Make: Model:
Mar -10-97
15:26
CDF Fire Prevention BTU
916-538-2105
P.04
Record ID :
Yr -1996
Inc# -BTU -011842 Fire# -00824
Exp# -000
3 Of 4
SECTION E Structure Fire
Number of Stories : 1
Flame Damage Ext :
7
,EXTENDED BEYOND STRUCTURE OF ORIGIN
Smoke Damage'Ext :
7
,EXTENDED BEYOND STRUCTURE OF ORIGIN
Roof Covering :
6
,METAL
Construction Type :
9
,TYPE OF CONSTRUCTION NOT CLASSIFIED
Detector System
0
1000
Type :
8
,NO DETECTOR PRESENT
Power Supply :
8
,NO DETECTOR PRESENT
Performance :
8
,NO DETECTOR PRESENT
Reason for Failure:
8
,NO DETECTOR FAILURE
Extinguishing System
Type : 98 ,NO EXTINGUISHING SYSTEM
Performance : 8 ,NO EQUIP PRESENT IN ROOM OR SPACE OF FIRE ORIGIN
Reason for Failure: 8 ,NO EXTINGUISHING SYSTEM FAILURE
Number of Heads
Head Type
Material Generating Most Smoke
Type 00 ,TYPE OF MATERIAL UNDETERMINED OR NOT REPORTED
Form 00 FORM OF MATERIAL UNDETERMINED OR NOT REPORTED
Avenue Smoke Travel: 5 ,OPENING IN CONSTRUCTION
SECTION I Dollar Damage
------------------------------------------------------------------------------
Category
--------------------
CDF
----------
State/Fed
----------
Local
----------
Totals
-----------
Vehicle
0
0
0
0
Dwelling
1000
0
0
1000
Other Structure
0
0
0
0
Other Improvements
0
0
0
0
Contents
0
0
0
0
Timber
0
0
0
0
Agricultural Product
0
0
0
0
Wildland
0
0
0
0
Other
0
0
0
0
Totals
1000
0
----------
0
-----------
1000
SECTION J Total Resources
------------------------------------------------------------------------------
Schedule A
Engines:
2
Federal Engines 0
Schedule A
Truck
0
Emergency Fire Fighter 0
Schedule A
squad
1
Other Local Agency 1
Schedule B
Engines:
2
Overhead 1
Schedule B
Dozers
0
Call when needed Helicopter: 0
CDF.Fire Crews
0
Helicopter 0
Air Attack
0
Private Equipment 0
Air Tanker
0
Paid Persons 4
Fire Crews
0
volunteers 9
Mar -10-97 15:26 COF Fire Prevention BTU 916-538-2105 P.05
Record ID Yr -1996 Inc# -BTU -011842 Fire# -00824 Exp# -000 4 of 4
SECTION K Comments
-------------------------------------------------------------------------------
STORAGE SHED, METAL.
Type Of A=tion Taken #1 :
#2 .
#3 .
#4 .
Special Studies:
SECTION L Reporting Officer
-------------------------------------------------------------------------------
Name GREGORY S COLBY
Title FE, FIRE APPARATUS ENGINEER
Date 12/30/1996
THE UNDERSIGNED HEREBY CERTIFIES THIS REPORT IS A TRUE COPY
OF THE RECORD ON FILE
Signature ------------------ ---f-`-"-----------------
Title------------ 0'r---------------------------
Date--------- v� 10-9 �-------------------------
Mar -10-97 15:26 CDF Fire Prevention BTU 916-538-2105 P.06
Sun Mar 9 10:13:35 1997 PAGE 1 of 4
FC -18(1/91) DEPARTMENT OF FORESTRY AND FIRE PROTECTION FIRE REPORT
-------------
State: CA Year: 1996 Incident #: BTU -011857 Fire #: 00825 Exposure #: 000
Fire Name MARY JANE
FDID : 04555,CDF, BUTTE COUNTY
State: CA ,CALIFORNIA Year: 1996
Order Agency/#: BTU -011857
Protct Resp: 1.1 ,STATE ZONE-CDF DPA, ,STATE
Auto -Mutual -Aid : 8 ,NO AUTOMATIC/MUTUAL AID RECEIVED -OR PROVIDED
Situation Found #1: 11.0 ,STRUCTURE FIRE; NOT INCLUDED IN #12.0 OR #13.0
Situation Found #2:
Situation Found #3:
Situation Found #4:
Incident Address Location: 41 MADELEIN CT. BERRY CREEK, CA
RM/Apt: Zip Code : 95916
Census : 0000.00 ,CENSUS TRACT UNDETERMINED OR NOT REPORTED
Temp 42 Dispatch Level:
Weather: 3 ,RAIN
Code:
Name(Last, First Mi): Addr:
Rm/Apt: City: State: Zipcode:
Telephone Number :
Code:
Name(Last, First Mi): Addr:
RM/Apt: City: State: Zipcode:
Telephone Number
1/4 Section: NE Sec.: 26 Township: 21 N/S: N Range: 05 E/W: E
Base/Meridian: M ,MT. DIABLO
Response Area: G2 Battalion : 05 FHSZ : OOOOO.Z
Prop Mgmt, 1 ,PRIVATE,TAX=PAYING PROPERTY
General Property Use : 41 ,ONE- OR TWO-FAMILY RESIDENTIAL USE
Specific Property Use: 411 ,ONE -FAMILY DWELLING: YEAR ROUND USE
Building Code R-30 ,DWELLINGS AND LODGING HOUSES
Structure Status 2 ,IN USE W/FURNISHINGS IN PLACE, PROPERTY BEING USED
Occupied 1 ,STRUCTR OR VEHIC OCCUPIED AT TIME OF INCIDENT
Mobile Property 98 ,MOBILE PROPERTY TYPE NOT APPLICABLE
Yr Make Model License # St
IF
MOBILE---------------------------------------------------------------------
PROPERTY Vehicle Identification Number Permit # Drivers License # St
INVOLVED
Mar -10-97
15:26
CDF Fire Prevention BTU'
916-538-2105
P.07
Record ID :
Yr -1996
Inc# -BTU -011857 Fire# -00825
Exp# -000
2 Of 4
SECTION B Date and Time
Estimated Start
12/30/1996
01:50:00
First Report
12/30/1996
02:18:00
Method of Alarm 7
,TELEPHONE TIE -LINE
TO FIRE DEPARTMENT (911 SYSTEM)
Lookout
Second Report . . .
. .
Method of Alarm
Lookout
First Enroute . . .
. . 12/30/1996
02:28:00
First On Scene . . .
. . . 12/30/1996
02:28:00
Contained . . . .
. . . 12/30/1996
02:28:00
Controlled . •. .
. . . 12/30/1996
02:28:00
End Time . . . .
. . . 12/30/1996
02:28:00
SECTION C Casualty
------------------------------------------------------------------------------
Fire Service ...........
Injuries:
0 Fatalities: 0
Non -Fire Service ...........
Injuries:
0 Fatalities: 0
SECTION DCompleted for all fires
Billable Fire : No
Type Action Taken #1: 13 ,EXTINGUISHMENT, SALVAGE AND OVERHAUL
Type Action Taken #2: 71 ,INVESTIGATE
Type Action Taken #3:
Type Action Taken #4:
Area of Origin 79 ,STRUCTURAL AREAS NOT CLASSIFIED ABOVE
Level of Origin Al
Horz Distance'From Origin:
Equip Involved in Ig: 46 ,LIGHTING FIXTURE, LAMPHOLDER, BALLAST, SIGN
Form of Heat 34 ,UNSPECIFIED SHORT CIRCUIT ARC
Certainty 2 ,ALMOST CERTAIN
Factor 53.0 ,SHORT CIRCUIT, GROUND FAULT
Certainty 2 ,ALMOST'CERTAIN
Contributing Factorl:
Contributing Factor2:
Resp Person-Otcptn#1:
Sex #1:
Occptn#2:
Sex #2:
Occptn#3:
Sex #3:
Type of Material Ign: 43
Certainty 3
Form of Material Ign: . .61
Certainty 2
Method of Extinguish:
violation -Section #1:
Code #1:
Violation -Section #2:
Code #2:
Age #1:
Age #2:
Age #3:
,FLEXIBLE PLASTICS
,MOST PROBABLE .
,ELECTRICAL WIRE, CABLE INSULATION
,ALMOST CERTAIN
5 ,WATER ON APPARATUS INITIALLY ASSIGNED TO INCIDENT
IF EQUIP INVOLVED -YR: Make: Model:
Mar -10-97
15:27
CDF Fire'Prevention
BTU
916-538-2105
P_08
Record ID
Yr -1996
Inc# -BTU -011857 Fire#
-00825
Exp# -000
3 of 4
SECTION E Structure Fire
Number of Stories : 1
Flame Damage Ext 6 ,CONFINED TO STRUCTURE OF ORIGIN
Smoke Damage Ext 6 ,CONFINED TO STRUCTURE OF ORIGIN
Roof Covering 6 ,METAL
Construction Type 9 ,TYPE OF CONSTRUCTION NOT CLASSIFIED
Detector System
Type :
8
,NO
DETECTOR
PRESENT
Power Supply :
8
,NO
DETECTOR
PRESENT
Performance :
8
,NO
DETECTOR
PRESENT
Reason for Failure:
8
,NO
DETECTOR
FAILURE
Extinguishing System
Type- : 98 ,NO EXTINGUISHING SYSTEM
Performance : 8 ,NO EQUIP PRESENT IN ROOM OR SPACE OF FIRE ORIGIN
Reason for Failure: 8 ,NO EXTINGUISHING SYSTEM FAILURE
Number of Heads
Head Type
Material Generating Most Smoke
Type 60 ,WOOD, PAPER; INSUFFICIENT DATA TO CLASSIFY FURTHER
Form 17 STRUCTURAL MEMBER, FRAMING
Avenue Smoke Travel: 5 ,OPENING IN CONSTRUCTION
SECTION I Dollar Damage
------------------------------------------------------------------------------
Category
--------------------
CDF
----------
State/Fed
----------
Local
----------
Totals
-----------
Vehicle
0
0
0
0
Dwelling
4000
0
0
4000
Other Structure
0
0
0
0
Other Improvements
0
0
0
0
Contents
0
.0
0
0
Timber
0
0
0
0
Agricultural Product
0
0
0
0
Wildland
0
0
0
0
Other
0
0
0
0
Totals
4000
0
------
0
-----------
4000
SECTION J Total Resources
------------------------------------------------------------------------------
Schedule A
Engines:
2
Federal Engines 0
Schedule A
Truck
0
Emergency Fire Fighter 0
Schedule A
squad
1
Other Local Agency 1
Schedule B
Engines:
2
Overhead 1
Schedule B
Dozers
0
Call when needed Helicopter: 0
CDF Fire Crews
0
Helicopter 0
Air Attack
0
Private Equipment 0
Air Tanker,
0
Paid Persons 4
Fire Crews
0
Volunteers 9
Mar -10-97 15:27 CDF Fire Prevention BTU 916-538-2105 P.09
Record ID Yr -1996 Inc# -BTU -011857 Fire# -00825 Exp# -000 4 of 4
SECTION K Comments
----------------------------------------------------------------------
STRUCTURE'FIRE CONTAINING ILLEGAL MARIJUANA GARDEN.
Type Of Action Taken #1
#2
#3
#4
Special Studies:
SECTION L Reporting Officer
-------------------------------------------------------------------------------
Name GREGORY S COLBY
Title FE, FIRE APPARATUS ENGINEER
Date 12/30/1996
THE UNDERSIGNED HEREBY CERTIFIES THIS REPORT IS A TRUE COPY
OF THE RECORD ON FILE
Signature : ---------------- --------------------------
"I"
Title.-------------- ------------------------------
Date----------- �� -r 7------------------------
i
PERMIT NO.
3520-8OP,E
f
"
PERMIT EXPIRES
!,OWNER Robert Young
CONTR. ptnTk7ex _
:. 62-07-
y, LOCATION (A.P.�`� )
NIS OroQuincy RM Hwy, app.1000'F/of Bald Rock
Rd., Berry Creek
4
• y.
;d
r j!
:i
1
i
a
t
Temp. Power Pole
Caped PG&E
Temp. lec. Serv.
Ca led PG&E iiCJ Y
Templ Gas S�erv.&. 4 146-40y
E
J04
I�pLED V�
V (Date
(Signature)
- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING'(Cont'd)
K PLUMBING'.
-SetApk
FkrewaII
SNI Piping
Forms
Pa ets
� t Floor
Maln Idg.
Res oom Finish
2 Floor
Foot s
Windo s
3rd •loor
StemwA•i I
Sidin
To out
Slab
Roof SheXthing
Water PIPNng
Piers
Roofing r
Sewer
Garage
Fdn. Ven,tsx
Fixtures
Footings X 41
Stemwa I I
Garage Vents
Insulation
Water Htr. .
Heaters
Slab
Carport V
Footings r
Prov. for physic ly
handforma ce of ex. cappe /
structure /
Appliances
Gas Piping & Test
Temp. Gas
Slab N,
Final r
Sanitation
Patio.
RfIRLACE
Final
Footings X
Footing
ECTROL
Masonry Walls
Throat
Rou h
Reinf. Ste e X
Final
Fixtures
Bond Be
AFIRE SPRINKLE
Motors
Framinq
Test / N
Water Htr
Stucco
X Final
Sub ane s \
Mes
` MECHANICAL
Grd. F ult Prot.
Scr tch
Heatl
Servi e
B wn
Coo g
mp. Pole
nish '
Du is
Anderground
rlor Lath
V ntilation
Permanent
LOO Closer
anal
Final
:]�
MOBILEHOME UTILITIES ------------------Elec. Service _ 'Z_ -L r
Elec. Pedestal
Water Piping Z
Sewer _Z ��
Gas Piping �'6 e R' L-17
E ME. INSTALLATION - - - - - - - - - - - - -- Support —__-----Elec.
Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
9. Electrical
.A. Is service large enough to -provide adequate amperage -to mobilehome'(must equal ratiq.g of
mobilehome with a minimum of 190 -amp) and other-facilities.on.lot, i.e., water pumps,
garage, cabana, etc.? Yes_ No
B. Is there proper clearances around panels? Yes' No_
C. Is power supply cord or feeder assembly properly fused? Yeses No_
D. Is ontinuity test satisfactory as per the following procedure? Yes_✓fio
,poK De -energize electrical wiring system of the mobilehome at the pedestal.
Make sure that the power supply cord or feeder assembly conductors, including neutral
��conductor, have been disconnected. r
4'; Switch all breakers and switches in the mobilehome to the "on" position.'
&--t nnect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
/Fill non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and,appliances, shall be tested for continuity from
�Suc
equipment and the grounding conductor. e
upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site
service equipment may be approved for energizing.
_,W. -'Is job card signed by Health Department for water and sanitation?
ul-TE-everything,okay, sign off.card and tag services.
MOBILEHOME DATA _
Manufacturer and/or Namestyle�%���
Length Width '10
Vehicle Serial No.i7
State Identi€ication No. AXO1'eQ LA=
Additional Information or Comments:
5PS &< 1,_WyTJ
ef3 ^
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located with required separation from lot lines and buildings.and generally
conform to plot plan? Yes. o
2. Does the mobilehome have .required clearances above ground? (Sec.5085) Yes,v-i-6
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles,) (Sect. 5082 & 5083) Yes_ No
4. Is the mobilehome level? (Sec. 5088) Yes_ No_
5. If m e a ngle unit, are crossover connections properly installed? (Sec. 5088)
Yes
6. Wat
Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes
Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No
Backflow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes_ No
7. Wastes and Drains
C -4 -'—Is connection made with Schedule 40 DWV and have flex connectors at each end? Ye No
Does it have minimum 4" per foot slope and is it properly supported? Yeses
C% Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes N4-1
D`\f coach is not State of California approved, does station have required trap and vent?
��s-e N o®
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an -approved 3/4" minimum
mobilehome connector no more than 6 ft, long? Note: All piping is to be at least as
large as the mobile e gas line inlet without reductions' other than the mobilehome
connector, Yes_ No
B. Te- -OK as per following procedure? Yes_ Nc
Open all appliance connector valves.
Shut off appliance burner and pilot valves.
)3it test with manometer to 10"--14" water column, or test with slope gauge (minimum
; 6oz,-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without
drop.
41 ---Connect gas meter to mobilehome with connector, turn on gas, test connections with
��soap_y water. ,
C. Are all appliance vents properly installed? Yes_' No '
0
^_1 COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE', CALIF. - 534-4541
CERTIFICATE OE OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, _C-apter 5, under permit
number �" � for the following location: A/ ' e- F7
Owner
Owner's Address S Q �Z • C
Mobilehome Mfg: —'" �� Model Year
C�
Insignia No. Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director, of Public works,
Date rC ' t !-il By
I '-'T
THIS CERTIFICATE IS VOID WHEN MOBILEHOME.IS;RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
1 -
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
en correction of work is completed. If you have any question pertaining to this
atter,, or need additional explanation, please contact this office immediately.
52
Inspector ��� Date
o
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE MIT NO.
7 County -2 Z—
Penter Drive - Oroville, California 95965 - Telephone 916/534-45
APPLICATION AND PERMIT
ASSESC,YARCEL NUMBER
p()_'�
ZO NG
BUILDING PERMIT
OWN
1't
TELEPHONE
O
SQ. FT. OCC. BUILDING VALUATION
OWNER S MAIL ADD S ,ryL
13� 1 S___M ,4-
CONTRACTOR'SNAME TELE PHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation $
,
LENDER'S MAILING ADDRESS
Permit Fee
"$
ARCHITECT OR ENGINEER
BM
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDI G AD RESS
th Jt
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USEOFSRUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK ,�,�
New ❑ Addition ❑ oemode1 ❑ Uti litie Instal lati Lf/' Other ❑
Describe work: '�– - —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST DWELING
OR ADDNS. ACCLBL GS.CCUP,&)
20 sq ft
•
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
a d Professions Code and my license is in full force and effect.
icense No. Classification
^ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NON.RESID R BRANCH MULTI-OUTLET
ITS
2.50 ea
New CONSTR. POWER APPARATUS &)
NON-RESID. (SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETs OR FIXTURES
50@�
BAL@10Q
FIXED APP LNS, OR
Ex. Occup.(OUTLETS (RESID.) EA./`
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a C tificate of Workmen's Compensation Insurance or a Certificate
onsent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FilingFee 3.00
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above -me tinned property for inspection purposes.
1 also agree to , nd 1r Ki ify nd keep ha ess the County of Butte against
all Iiabilit' judg n ,/cos , and ex ses which may in any way accrue
against id Court inrc nseq nce of a granting of this permi
X Date - tj
Sign t e of Applicant — r Cont ctor ❑ Agent
An SHA permit is requir or excavatio ver 5'0" deep and demolition or construct-
io of structures oveerrj3 s``t evs� in height.
Mobile Home Installation Fee $ -
Land Development Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
HD
ISSU
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR O P BLIC
//
By. L-1�
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
i
Date
'�
Receipt No. ! ! I a �
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS :. o
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner'9 name:
2. Installer's name:
3.
Is the. site currently under permit? Yet;
No .
vii o
r•
(If yes, furnish permit number
) OR
-
existing Is the site an W Yes
g site? �.e
No
_
(If ?es, .furnish two (2) plot plans.) 4.11/G'e�'�
.
•. 1
4.
Will
the mobilehome be located at least 5 ft. away from septic tank and leach fields
and
clear of all setbacks and easements? Yes /%
No
(If no, clarify
)
5.-
What
is the mobilehome electrical rating? -----------------------B
Amps
6.
What
is the mobilehome site service rating? ---------------------
Amps
7..
What
is the mobilehome site circuit breaker rating? ----
Amps
-8.
Is there any other electric load to be served by
the mobilehome
sitesereice?
---------------------------------------------------
Yes 1 No
(If yes, identify the Load and size:
(Load)
(Amps)
9.
What
is the mobileho a sit s pipe size? ----------------------
/
10.
What
is the type
gas se ce?-----------------------------
Natural LPG/
11.
What
is the gas p
p length from meter or tank to
the mobilehome?
(ft.)
12.
What
is the mobilehome gas demand? ------------------------------
(BTU)
(This information not required if pipe length
less than 6 £t. on natural gas..
or less than 50 ft. on LPG.)
BUTTE COUNTY
BUILDING DEPARTMENI
•
APPPOVED
Vg�
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. furnish Setup Model No. Year
Width(ft.) Box Lengths ' d _(ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after Octobdr'Tl 1973,• furnish manufacturer's instillation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
Footings (check one)
(ft.) in:)
Single
Erl. Wood either,
pressure treated or
foundation grade.
❑ 2. Other (specify)
x
(in.) (in.)
Center sup ort
locations
Center su ort
footing zes
Supports (check one)
QI.Concrete block.'
2: Other (specify)
(ft.)(in.)
(in. (in.).
*---Tagalong or Expando,'
show support details.
(ft.)(in.)
in.) (in.)
Typical Support
(in.) (in.) Footing Size
x
(ft.)(in.
in. in
-- Max. Pier Spacing
.
(ft.)(in.)
x
-- Max. Overhang
(ft.) (in.)
(in.)l
(ft.)(in.)
*If center piers are other than drawn above,
__..draw_ in locations,. spacing, and dimensions.
.COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
A
ASSESSOR PARCEL NUMBER ZO ING
BUILDING P
OW + E EPH NE
�v / — — l
SQ. FT. OCC. BUILDING VALUATION
OW MAILIN�ADDR ' 46 _rr
QITt O
go I
CONTRACTOR'S NA
,e TELEPHONE
I{
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
®� �'
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ ,
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADD -RES S
Permit fee
$
BUI N ADDRt;S
S V 1
'Yb h
PLUMBING PERMIT
Filing Fee 3.00
i
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION NAME 11
PARCEL MAP
_7& y
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
0, _
USEPTRUCTURE
SF ❑ Duplex❑ Mobilehome Other SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK _'O
New [-IAddition ❑ Remodel [:]Utilities P . Installation❑ Other ❑
Describe work: —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELING
OR ADDNS. �ACCLBLDGS.CCUPM
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
V-1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. ULTI.OUTLET
NO N.RESID. BRANCH CIRCUITS
2,50 ea
NEW CONSTR POWER APPARATUS &)
NON-RESID. (SINGLE OUTLET CIR.
Ex. Occup(ouTLETs OR FIXTURES 50@�M
BAL@10S
EX. OCCU FIXED APPLNS. OR `
p. OUTLETS (RESID,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Miso. Wiring 6.25
; J I /r
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
o Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 3.00
Heating
Cooling
Hood
2.00
Ventilation
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and. hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to 1 mni y and keep harmless the County of Butte against
all liabili ' judg ts, and penses which may in any way accrue
agains aid ou i on uenc a granting of this permit.
Date if
S'g ure of Applicant — caner ontractor ❑ Agent
OSHA permit is requi for exc a Ions over 5'0" deep and demolition or construct-
ion of structures over 3 sto les in he g t.
Mobile Home Installation Fee $
Land Development Fee $ d
TOTAL PERMIT FEE $
OCCUP, GROUP
I TYPE OF CONST.
PARCEL
' PD
HD
✓
ISSUE
��
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO F PUBLIC
By
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
'7— I �fT
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
f
i.& Workmanship Shall Be fn
NOTE:—All Materials
Accordance with Recognize heG ne if ed cu ee in the
nd
prescribed for t
of a auality p Plumbing & Machanical Codes and
Uniform Building'
the National Electrical Code.
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rbx\2®eNO t15
4
1✓ / x\0 .\ or •.uhf " ok
C'u'
J��`� o��reer��o aS�a
A d�e�`o N owe. �-
�a
A setback of 5 ft. from the
property lines and a sotback
of 50ft. from the road
centerline shall be clear of
structures or equipment exeepl.
for a 2 ft. eave overhang,
This set of p
fans and spec1fichtions MUST
° kept on the job at all times rnd it is une withp t
changes or nIterm-&;.ons an scin' w
make any
written permission from the Department of public
yyQrks, County of Butte.
kle,6,
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ode 9v��'a
�o6ie�oo^ 41
N4.
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
Mr. Robert Young
3115 Harbour Drive
Antioch, CA 94509
RE: A.P. #62-07-423
Dear Mr. Young:
BEAUTY
RIVE
OROVILLE, CALIFORNIA 95965-3381
TELEPHONE: (916) 534.4621
October 8, 1985
It has been brought to our attention by Mr. Jim Glander, Chief
Building Inspector for the Butte County Public Works Department,
that you have constructed a ramada over, and a cabana beside, a
mobilehome on your property located off Oro -Quincy Highway in the
Berry Creek area, without having obtained the required permits and
inspections.
Section 26-1 of the Butte County Code states that the County
has adopted the 1979 Edition of the Uniform Building Code. The
Uniform Building Code requires that all persons constructing
buildings within the County of Butte, except for agricultural
buildings, are required to obtain a permit from the County Building
Department. Section 26-6 of the Butte County Code states that:
"It shall be unlawful for any person, firm,
''or corporation to erect, construct, alter,
repair, move, remove, improve, convert,
demolish or equip any building or structure
in the unincorporated areas of the County
or to cause the same to be done contrary to
or in violation of any of the provisions of
this chapter.
"The use or occupancy of any building in 14.
violation of any of the provisions of this
chapter is hereby declared to be a public
nuisance and may be abated in a manner
provided by law."
Section 1-7 of the Butte County Code provides that any
violation of any provision of the Code constitutes a misdemeanor,
or in the discretion of the District Attorney, be charged as an
infraction. The penalty for a misdemeanor is punishment by a
fine not exceeding $500.00 or imprisonment. The punishment for
an infraction shall be a fine not to exceed the sum of $500.00.
;Mr. Robert Young
Page 2.
October 8, 1985
Therefore, you are to immediately cease remove the ramada you
have constructed over, and the cabana you have constructed beside,
the mobilehome on your property located off Oro -Quincy Highway in
the Berry.','
erry. Creek area, until you have obtained the proper permits,
inspections and approvals, from the Butte County Department of
Public Works.
DMS :je
cc: Jim Glander
Chief Building Inspector
Very truly our ,
DELBE M EN
Butte County Counsel
4.L%'
.a
I! .
f
I
County Counsel
,f
Department of Public Works
if
Building Permit - AP 462-07-423
Jane 27, 1985
With reference to the above subject, attached are copies of correspondence
s:nt'to Robert Young about a r,amada and a cabana he constructed without
permits, inspections and approvals from.this office.
(
T'b date, we have had no reply.
W641d'you please'send`him the normal letter about obtaining permits.
Should.you.have any questions concerning this, pleatse contact me.
J(} J. F. Under
J.F. Glander
JFG:am Chief Building Inspect
Attachments
f
i
_ I
l_
�f
if
i
I�I
BUTTE COUNTY (For Action 1, 2,3)
Public Works Dept. (For Information ✓)
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
D&C / Traffic
Const.
Rd. Des.
Br. -Des.
Sur. & Loc.
Transp.
R/W
Mapping
Land Dev.
Ref. Disp.
Drng. / S. I.
Sub. & Pcl. Maps
Permits
CERTIFIED MAIL..
Robert youag
Ills HarballAir Dr.
Ajax inch, C& 945
ftair Mr. Y g:
Eutte, countu
LAND OF NATURAL WEALTH. AND�SEAUTY
DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Telephone: (916) 534-4541
WILLIAM (Bill) CHEFF
Director
y ISO 10-83
RE: Permits and Inspections
AP # -01.423
With reference to the above subject, on April 131, 1985 we wrote you a
letter requesting that you obtain the required permits and the required
inspections from this office for the work you have`done' as follows:
cimstruafts ft ramda ovar ."4 a gawas besift 4, mb1le how an Yaw propdmty
:0cat*4 off oro0quUmy ►, ll en7 Cmek.
Since both permits and inspections are required -by both State and County'
laws, unless you have obtained the required permits and made arrangements
for the required inspections'within ten days of the date you receive this
letter, the matter will be referred to the proper authorities for appropriate
action.
Should you have any questions concerning this matter, please contact us'.'
JFG:aj
cc: Building Inspector - Crwille
Asaeosorr
Yours very truly,
Director of Public Works
Original signed by
J. F. Glander
J.F. Gladder
Chief Building Inspector
Ait . 4 _Ll
A.
t
Robert Young
3115 Harbour Dr.
Antioch, CA 94509
Dear Mr. Young;
LAND OF NATURAL WEALTH AND BEAU
TY
DEPARTMENT OF PUBLIC WQ.RKS.
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Telephone: (916) 534.4541
WILLIAM (EiII) CHEFF
Director
April 15, 1985
RE: Building Permit
A.P. # 62-07-423
With reference to the above subject, we have been advised by one of our building
inspectors that.you have not obtained the required permits and inspections from
this office for the work you are doing as follows: i
i
Constructing a ra mada over and a cabana beside a mobile on your property located
off Oro-Quincy.Awy, Berry Creek.
i
Since permits and inspections are required by both State and County laws, please
contact this office within ten (10) days of the date of this letter, submit two
(2) complete sets of plans, apply for the required permits, and pay the appropriate
fees, including penalty fees.
All work must stop until you obtain these permits and are authorized by our field
inspector,to.,proceed. This field authorization cannot be made until the existing
work is inspected and approved.
Your cooperation.in resolving this matter would certainly be appreciated. Should
you have any questions concerning this matter, please contact this office.
JFG:aj
cc:, Building Inspector - Oroville
Assessor
a/aslas � eGe�G w
Yours very truly,
1411-lism- Crieff
Director of Public Works
Original signet by
J. F. Glander
J.F. Glander
Chief Building Inspector
COUNTY OF BUTTE
'i DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
VNLH PERMIT NI
A routine inspectioni cafes that Q1011lowing violations of County Ordinance
exist at the above ad ress and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter,need additional explanation, please contac this office immediately.
r_ � �-- �(I . ~f -4--
Inspector
iDate_ ��
Owner:
Addres
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
I
A.P.
Date of Inspection-��6- .
Tenant:
U W 1A @lrs
Inspector
Building
I
Location: a
;'s, V mm
�' t
Type of
Inspection requested:
1. Housing ".2. 2. Financing / / 3. Change
of Occupancy to
f^[ 4. Other (specify)
Present use of building:
A. Sanitation (Housing)
1.
Water closet:
2.
Lavatory:
3.
Bathtub or shower:
4.
Kitchen sink:
5.
Hot and cold water to fixtures:
6.
Heating facilities:
7.
Natural light and ventilation:
8.
Room and space requirements:.
9.
Bedroom window or door for second exit:
10.
,Infestation of insects, vermin, or rodents:
11.
Connection to sewage disposal:
12.
Connection to water supply:
13.
Rubbish and garbage facilities:
14.
t Comments : , ,
B. Structural. Y
1.
Piers and footings:
2.
Floor construction:
3.
Wall construction:
4.
Ceiling and roof construction:
5.
Fireplaces:
6.
Comments:
C.
Electrical
1. Service and ground:
2. Receptacles:
3. Fusing:
4. Comments:
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heatei:
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. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped: _
4. Restroom floors and walls:
5. Exits:
6. Improvements:'
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Problem or violatpNn ygi� couplete deseTipt ion):
2.
3.
A. Information only - file.
/ / B. Hold for ten days, then write letter.
%% C. Write letter.
/ / D. Other:
UNITED STATES
OFFICIAL
SENDER IN1114
cijDf i a
Print your name, address, anCozlli30M) sface below.
• Complete Hama 1, 2, on the reverse.
Attach to front of article H e Perm
otherwise affix to back of
artic a. --
• Endorse article "Return Receipt Requested"
• adjacent to number.
E3ET®RN -17111111-
PENALTY FOR PRIVATE
USE, $300
County of Butte -Dept. Public Works
(Name of Sender)
7 County Center Dr.
(Street or P.O. Box)
Oroville, CA 95965
(City, State, and ZIP Code)
ATT: Bldg Dept:"
u
r[2101
N51111. Complete items t, 2, 3, and 4.
°, Add your address in tN °' RETURid TO"
w.space on reverse. -
(C MSULT POSTMASTER FOR FEES)
c t^Gw ging serAce is requested (check one).
5�Show to whom and date delivered ............ R
Shaw to whom. date, and address at.�ftve: y. RZEMICTEED DELIVERY...............d..'.
Pit rE3YrrcW daOiwy Pee Is dw9aa '7 4.=0 •f
TOTAL S --
3. ARTICLE ADDRESSED 70:
Robert Young
3115 Harbour Dr.,
4.'PYPTUf!-8..110:- " '--' ARTICLE NUMBER
❑REGISTERED ❑INSURED
lOCERnnED ❑COD P292970364
❑IXPRESS (NAIL
(A,'waya obtain stgnatUr® of addresaGs os Egan.)
I Pyre received the article described abate.
S r 4ATURtE ❑Addressee ❑Aurhortaed agent
AT
5. E OF DELIVERY<t>USTrvim
(rte{ an redcsys stea
a 6. ADDRESSEE'S ADDRESS (drry h rsr,/ ��eK'
7. UNABLE TO OELIVEA BECAUSE Te. EEA YEkS
* UPC
5/15/85 62-07-423
P 292 970-364
RECEIPT FOR CERTIFIED MAIL
r^ NO INSURANCE COVERAGE PROVIDED_ z
NOT FOR INTERNATIONAL MAIL
• (See Reverse) j
SENT TO
`Robert Young
STREET AND NO.
-3115 Harbour"Dr.
P.O., STATE AND ZIP CODE
Antioch CA 94-
POSTAGE
4POSTAGE
CERTIFIED FEE
uj SPECIAL DELIVERY
RESTRICTED DELIVERY
cc
SHOW TO WHOM AND
rDATE DELIVERED
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a uj
SHOW TO WHOM. DATE,
AND ADDRESS OF
Ca DELIVERY
► o W SHOW TO WHOM AND D
m
DEL VERED WITH REST
DELIVERY ,
SHOW TO WHOM, DATE
s ADDRESS OF DELIVERY
RESTRICTED DELIVERY
TOTAL POSTAGE AND FEES
Q POSTMARK OR DATE
g '
00
E `
V
0
5/15/85
a
d
Q
s
ATE• '
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AND
WITH d
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62-07-423