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Home My WebLink About069-100-059A. P. BUILDING CODE VIOLATION Frank Gloistein 69--/0-S9 17 Greenbrier,orovill (L f 25U 30. DAY LETTER 'e-0 4' ,Z.7 -17i/ Permit 2958-73 (utjXies f�lrg A. P. 344Q-49 I FRANK GLOISTEIN 69- /Z> #17--Greenbrier-Dr. ' K.R.258.-orov lle- BUILDINGCODE VIOLATION �'-CONTR: Acro -Lome, Oroville 10 DAY LETTER, Permit 3644-73B (covered deck and an a -7 a I 9 aawninjK� 4) , - _22' 6s 0-059 069-10 �,05-0187 JASPER, ROBERT "N OROVI 17 GREENTBRJ SIG fE MH 1_ EX MH RM FND' :911 `.Yf: ' �.:.+ Cfll � �I � r �Q T� �� CLAIMANT: f ADDRESS: CITY & STATE: nATF�nF f'I AIM County of Butte Oroville, California GENERAL CLAIM Sierra Mobile Service 466 Circle Drive Oroville, CA 95966 ni/um 10 8yO ✓ IA51o6 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT r1 , 2006, at � t- —Calif. /dLGY Lr Refund Claim - See attached calculation sheet APN: 069-100-059 Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge. the services or articles specified abov a been perfor or Permit No.: 05-0186 PAID RETAINED REFUND Department Head or Authorized Deputy Develo ment Services $ 549.90 $ 274.95 $ 274.95 DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY THERM DRNG _ $ - $ - $ - SMIP $ - $ $ SHR $ - $ $ SRA- $ - $ TOTAL $ 549.90 $ 274.95 $ 274.95 .....................................I...... ............ ........................................... ............ ............................................ ........ ............................... ............. ............ .......... :CIRC f�DO\?1!Ns::::::13lJU:C:CT::.ACCOUNT. .............. ........... .............. ...................... .............. ............. ....... .............. ............. ........7..... ............. ..... .... ... ............. :AIVFOUN:T: . ............ 101001 DVLPMNT SVC 440-001 4210500 $ 274.95 1011822 THERM DRNG 1800 280 $ 1011430 SMTP loot 280 $ 1011811 SHR 1800 280 $ 101001 SRA 01001 4617240 $ TOTAL 1 $ 274.95 $ 274.95 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this t ! ' r day of r1 , 2006, at � t- —Calif. /dLGY Lr Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge. the services or articles specified abov a been perfor or delivered and that they is a Bu et Appropriation or Specific Board Approval (Check one) for the sa e. Dated this day of ,2006, at Oroville Calif. Department Head or Authorized Deputy Dept. 'SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT 8 SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. i/ q/a 6 .0 Butte.County Department of Development Services www. buttecountV.netldds 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone R (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * PLANNING b - 1/4/2006 Sierra Mobile Service 466 Circle Drive Oroville, CA 95966 RE: Pennit No.'05-0186 APN#069-100-059 Owner: Jasper On 2/3/2005, a deposit was made in rhe amount of $329.94, of which $274.95 was retained. Please sign, date, and return the enclosed claiun form to this office. Once we receive the claim form, we will then process your refund in the amount of $274.95. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-7601.. Sincerely, �lal Diane Lewellen Account Clerk, Senior Administrative Division enclosure 05-0186.1tr County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Sierra Mobile Service ADDRESS: 466 Circle Drive CITY & STATE: Oroville, CA 95966 nATF nF Cl Alnn• 09 /M /nF SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 069-100-059 Permit No.: 05-0186 PAID RETAINED REFUND Development Services $ 549.90 $ 274.95 $ 274.95 THERM DRNG $ $ $ SMIP $ $ $ SHR $ $ $ SRA $ _ $ TOTAL $ 549.90 $ 274.95 $ 274.95 ..:..:.:.:.:.:.:.:.:.:....•. ................•. ..... 'EAI DCi�V1V ::::::::: BUDGE`C :.: .. .. .. ....O • NT. :: .. .. : :AOT 101.001 DVLPMNT SVC 440-001 4210500 $ 274.95 » k > o:-.:.:: 1011822 THERM DRNG 1.800 z8o $ - "' 1011430 SMIP 1001 280 $ 1011811 SHR 1800 280 $ 101001 SRA 0100 4617240 $ - TOTAL $ 274.95 $ 274.95 - I - - - - . --- , - —.1- ••-• •. • -,.,cu —vu ueen penurmeu ur oeinterea, and that this claim is true and correct as stated. Dated this day of 2006, at , Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2006, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND Lv 1 YY RI I G OCLUVV I rna Lrtvt - HUUI I LJK'J USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. I INV. DATE I ENCUMB. GROSS AMT. REFUND CALCULATION SHEET CLAIMANT: ADDRESS: CITY & STATE: DATE OF CLAIM: Sierra Mobile Services 466 Circle Drive Oroville, CA 95966 07/27/05 APN: 069-100-059 NUMBER: DATE: ISSUED TO: CHECK #: AMOUNT: PERMIT #: PRIOR REFUNDS: FEES VERIFIED RECEIPT INFORMATION 419277 419392 1/26/2005 2/3/2005 Sierra Mobile Services Sierra Mobile Services 18840 18880 $219.96 $329.94 05-0186 05-0186 Yes No Yes No Yes No X X X I X REFUND BREAKDOWN Title Fund Dept Accnt Cash BLDG 0010 440-001 4210500 101001 THRM DRNG 1800 THRM DRN 280 1011822 AUD SUSP 1001 (SMIP) 280 1011430 SHER DEV FEE 1800 (SHR) 280 1011811 FIRE 0100 (SRA) 4617240 101001 DETAIL PAID RETAIN REFUND BLDG Time 109.98 549.90 ::::::::.......... :::::::::: :::::::::::::::::::: ......... .. .......................................... :::::::::::::: ..... .......... ..... ........................... .......... <:::: .......... ...... ... .......... >:::::: .......... :::......:::: .......... >:::::::::::::::: .......... ......... . .......... >:<::::::: .......... .......... .......... Filingfrom Plan Check 0.00 0.00 0.00 Plan Check/Filing 0.25 27.50 219.96 219.96 0.00 0.00 Inspection 0.00 329.94 329.94 329.94 BLDG FEES OTHER BLDG 0.00 0.00 0.00 0.00 REFUND PROCESS FEE 54.99 54.99 -54.99 -54.99 BUILDING TOTAL 549.90 274.95 274.95 274.951'.'.'.*.*.*.'.""::: THERM DRNG 0.000.00 SMIP 0.00 0.00::: SHR _ 0.00 ' 0,00 »:< SRA . :. - : ;.:: ' 0.00 : • 0.00 APPROVAL Date Reviewed Scott Rutherford Chief Building Inspector $ 549.90 $ 274.95 $ 274.95 $ 274.95 CHECK: $274.95 1/4/2006 DIFFERENCE: $0.00 (Should be blank) $ $ $ $ r CLAIMANT: ADDRESS: CITY & STATE: DATE OF CLAIM: Sierra Mobile Service 466 Circle Drive Oroville, CA 95966 12/16/05 APN: 069-100-059 NUMBER: DATE: ISSUED TO: CHECK #: AMOUNT: PERMIT #: PRIOR REFUNDS: FEES VERIFIED RECEIPT INFORMATION 419277 419392 1/26/2005 2/3/2005 Sierra MHS Sierra MHS 18870 18880 $219.96 $329.94 05-0186 05-0186 Yes No Yes No Yes No X X X X REFUND BREAKDOWN Title Fund Dept Accnt Cash BLDG 0010 440-001 4210500 101001 • THRM DRNG 1800 THRM DRN 280 1011822 AUD SUSP 1001 (SMIP) 280 1011430 SHER DEV FEE 1800 (SHR) 280 1011811 FIRE 0100 (SRA) 4617240 101001 DETAIL PAID RETAIN REFUND BLDG Time 109.98 549.90 ........................................ ::::::::::::::::::::::::::::::::::::::::::::::::: .......................................... ::::::::: »>: > .......................................... :::::::::::::::::::: .......... < ............................... .......... ............................... .......... :::::::::: : »>:: :::: .......... I......... .......... :::::::::: ..................... .................... :: >::::::: ::::::::::::::::: .......... ..I ....... .......... :::::::::: .......... ..................... .......... :: >:::::: ::::::::: .......... .......... .......... .......... .......... ::::::::: .......... .......... :•:•::•::•:•:•:•:• .......... .......... Filin from Plan Check 0.00 0.00 0.00 Plan Check/Filing0.25 27.50 219.96 219.961 0.001 0.00:::::::::: Inspection 0:00 329.94 0.001 329.941 329.94 BLDGFEES OTHER BLDG Overcharged Plan Check 0.00. 0.00 0.00 0.00::::: Overcharged Bldg Insp 0.00 0.00 0.00 0.00 REFUND PROCESS FEE 54.99 54.99 -54.99 54.99 BUILDING TOTAL 549.90 274.95 274.95 274.95 THERM DRNG 0.00 0.00::::-*.,.,.,.,.,.,.,.*,::•:::::::: SMTP 0.00 0.00 0.00 0.00>::::::::: SHR 0.00 0.00 0.00 0.00:::::::::: SRA 0.00 0.00 0.00 0.00 APPROVAL ` Date Reviewed Scott Rutherford Chief Building Inspector $ 549.90 $ 274.95 $ 274.95 $ CHECK: $274.95 12/16/2005 DIFFERENCE: $0.00 (Should be blank) 274.95 $ - Is - is - $ - DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET BUILDING DIVISION DEPOSIT # 285 BAG # 329 PERMIT# RECEIPT# ACCOUNT # F-10 ACCOUNT # (SRA) 0100 ACCOUNT # AVA COURT (SHR) 1800 F-10 ACCOUNT # ACCOUNT# (CUA) 1800 (SMTP) 1001 ACCOUNT# (COPIES) 0010 050255 419374 $ 329.94 $ 95.00 050256 1419375 $ 137.50 050257 419376 $ 351.94 040095 419377 $ 109.98 033765 419379 $ 109.98 ' 040159 419380 $ 54.99 050258 419381 $ 55.00 $ 11.81 043578 419382 $ - 1,340.80 $ 305.01 050259 419383 $ 219.96 050260 419384 $ 60.00 050262 419385 $ 55.00 050263 419386 $ 60.00 050264 419388 $ 137.50 050265 419390 $ 219.96 050186 .- 419391- $ '"329.94' 050207 419392 $ 329.94 050208 419393 $ 329.94 050266 419394 $ 110.00 050267 419394 $ 110.00 050268 419395 $ 219.96 050269 419396 $ 219.96 050174 419398 $ 329.94 042892 419399 $ 54.99 031651 419400 $ 971.01 $ 54.99 050063 419401 $ 1,091.41 $ 12.46 050172 419402 $ 90.00 $ 1.34 $ 7,429.64 $ 95.00 $ 360.00 $ - $ - $ 25.61 $ - GRAND TOTAL TO BE DEPOSITED $ 7,910.25 MONEY COLLECTED: 1 2/3/2005 COMPILED BY: auditor. -yellow - DIANE LEWELLEN extn 6869 DATE 7/27/2005 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET BUILDING DIVISION DEPOSIT # 279 BAG # 330 Ww-- F-10 -(SRA)0100 (SHR)1800j� F-10 1—(CUA) 1800 (SMIP)1001 (COPIES)0010 11711 : •. •� �• .� 15171W.- , 1171 r o :• �O a� GRAND TOtAIL TO BE DEPOSITED MONEY COLLECTED: 1 7/26/ZOU5 COMPILED BY: auditor:yellow DIANE LEWELLEN extn 6869 DATE 7/27/2005 p Development Services Wednesday, November 30, zoos BUILDING DIVISION Ver. 1.0 Counter Tammie Person $219.96 ' Fund 10 (Bldg Permits) s - SRA Fees (Fire) $0.00 Payment Date 1/26/2005 I SHR Fees (Sheriff) $0.00 Permit Number - 05-0186 SMIP 0.00 i Receipt Number419277 Copies/Document Sales $0.00 Check Number or Cash F1170 ( CUA (Chico Urban Area) $0.00 Parcel Number 069-100-059 , , TUA (Therm. Urban Area) $0.00 y Applicant JASPER, ROBERT & PARTICIA Water Tender Min #= $0.00 - - ' West Chico Fire Station $0.00 Received From SIERA MOBILE SERVICE Witness Fees $0.00 Total ReceivedI $219.96 ( Recorders Fees (N.O.C) $0.00 Thermalito Drainage $0.00 Total Fees To Collect $219.96 Oroville Area Traffic$0.00 NSF (Non Sufficient Funds) $0.00 • Notice of Violation $0.00 NCSP Trails System $0.00 I NCSP Roads/Bridges $0.00 NCSP Storm Drainage $0.00 NCSP Fire Station $0.00 NCSP Parks Type $0.00 I Value $0.00 ' Friday, December 16, 2005 Development Services BUILDING DIVISION Ver. 1.0 Counter Curtis Person. Fund 10 (Bldg Permits) Notice of Violation $329.94 ' NCSP Trails System $0.00 SRA Fees (Fire) $0.00 i $0.00 Payment Date 2/3/2005 SHR Fees (Sheriff) NCSP Parks Type $0.00 Permit Number 05-0186 SMIP $0.00 Receipt Number 419391 I Copies/Document Sales $0.00 .� Check Number or Cash 18880 CUA (Chico Urban Area) $0.00 Parcel Number 069-100-059 , TUA (Therm. Urban Area) '$0.00 Applicant sierra mh svc Water Tender Btln #= $0.00 West Chico Fire Station $0.00 Received From • [same ( Witness Fees � $0.00' Total Received$329.94 --- � Recorders Fees (N.O.C) $0.00 • I .Thermalito Drainage $0.00 Total `Fees To Collect _ _ (329.94 -Oroville Area Traffic -$0.00 NSF (Non Sufficient Funds) $0.00 Notice of Violation $0.00 NCSP Trails System $0.00 NCSP Roads/Bridges $0.00 i NCSP Storm Drainage $0.00 NCSP Fire Station $0.00 NCSP Parks Type $0.00 Value $0.00 Butte County Department of Development Services Building Division `0.9 7 County Center Drive Oroville, CA 95965 (530).538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued - if no. construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Development Services for payment processing. CLAIMANT'S NAME: - Q/QQUlAG;f MAILING ADDRESS:Df2rvr PHONE: 3y os9'9 ASSESSOR'S PARCEL NO.: `� - C e, - 0,5--g [Please use one claim form per permit.] ; BLDG PERMIT NO.: a:':.� $-. ✓ . Receipt No. 1 Receipt No. 2 Receipt No. 3 c RECEIPT NO.: RECEIPT DATE: o RECEIPT AMOUNT: REASON FOR REFUND'REQUEST: C0sTo E CT45 Pf-fe Fr. NC�E:�.ti E c :Tod', Check those fees which you wish to have considered for refund: EEJLliding Permit Fees =Sheriff Fees =SRA Fees (CDF Fire Planning) =Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. Signature K:/Forms/Refund Application 082203 e?• to Date 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.netldds LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penally 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 : License Numbe • T Dater l t3 Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any clly or county which 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 Slate 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).): ❑ I, as owner of the properly, 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' 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-bullder 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 Profdsslons Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a conlraclor(s) licensed pursuant to the Contractors' Stale License Law.). ❑ 'I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -Insure for woricers' 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 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: Ci c�.cv` ti Carrier. C% Policy #:l S-7 O 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 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: Applicant: 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. CONSTRUCTION LENDING AGENCY r I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 30_97 Civ.) Name: Address: PERMIT NO: BP050199 Issued Date: 02/03/2005 APN: 069-100-059-000 Site Address: 17 GREENBRIER DR ORO Map Index: Description: EX MH PERM FND(1440) Owner: JASPER ROBERT D & PATRICIA A 17 GREENBRIER DR OROVILLE, CA 95966 Applicant: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 530-534-0599 Contractor: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 530-534-0599 License #: 470386 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: $a)6°g6 L,lf,7 27 7 This permit I hereby -1 sue un the Resolutlo to do wo k I1dlcat d above By - PERMIT EXPIRES ON: fees have been paid. _ _5wt a: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533;'end 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safely CodsIsnot applicable to the scheduled construction of this project. .., ; (3Attached 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 Ihal'l am the owner or the duty authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any off clal form or document of Butte County. I hereby authorize represenlatives of ufie County to enter upon the above mentioned properly for Inspection purposes. Print Name: r 'Signature: Date: )L, (7 10 r 0 Owner Contractor I 0 Agent for Owner 0 Agent for Contractor M BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION ( 4� 9 tM "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X For office use only: OWNER Name Last Name n T,4 S r�%c Address First dame Address 17 a Occ. State u� City n :; Ur tcvs r.i. � Phone State C. ��4 Zip ti � -1 /66 Phone Lic. # yZ�,} �,� Fax E-mail E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name - "� Address Address City Occ. State u� Zip YSfE� Phone Fax E-mail S 3 q OS -66' Lic. # yZ�,} �,� Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name - "� Address Address City Occ. State Zip Phone State Fax E-mail S 3 q OS -66' State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name - "� 4�� Address Y No Occ. City 0_11�94 Book State ZP Phone S 3 q OS -66' Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address 17 Flood Zone Cross Street SRA Y No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. 53 (5 /?(p BP BIN # LOCATION AP# O _ i 0c, - S Property Address 17 City Cross Street WORKER'S COMPENSATION Policy Number Yzs� 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: rarwv�-� ,uv�.-► .E'�,�. �/�Lo-�i.r°t- Sq. Footage 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 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: -P. Amount Receipt #:41`� n, cc� "7 SRA Sheriff SMIP Date/ �� Other I { Total yP-•-.n.e4�.rt�--.-c.•,-;.w..,,J„y+�-v-v..�.s..-+-,v*...-�- ....�-.--r...-�.. ter' -�+w` //]]-'';"��"'''��llva .. 'p,-."" _ ,y. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET/ OWNER: _ l 1 } �. '�" ASSESSOR PARCEL NUMBER Proposed Building Use: f%(%o4 Counter Technician: Date: Items required in order to apply fora peimit. Alf boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or nd plans, II in duplicate. ❑ 9. 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. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ Erosion Control Plan Required........................................................................ ........ p,, -O' 21' Fees as shown on the attached Schedule of Fees Due Sheet....".-..' ....................... ❑ 2. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement.. ........ ........ ❑ 34. Manufactured home utility clearance........................................................:...:. ❑ 35. Existing violations and/or expired permits......................................................... ❑ .36. Deed Restriction......................................................................................... ❑ 37. JIGrant Deed, QN.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 1114 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: k_ Date: / /Z 1. Index permit application for the 'above items numbered:6a!!71)Plan Check Letter` al items required Contractor designer, owner; was advised of the above data by phone, ❑ mail, ❑ counter, b Date: 6 or, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date :61 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division V IN 6134o COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER Jz 1. BUILDING PERMIT FEES BalanceDue ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) ,$200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER DATE RECEIPT # DATE REC. �_l19517-- PJ> '23/b�_ At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT — DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy -Applicant 3rd Copy - Owner (Rev. 6/00) Vector Dynamics Foundation system INSTALLATION -INSTRUCTIONS for the State of California Version 9/2/2003 INDEX Approval .PAGE RELEASE MANUFACTURED HOME/MOBILE HOME SECTION NUMBER DATE FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED INTRODUCTION 2 9/2/03 SUBJECT TO CORRECTIONS NOTED GENERAL INSTALLATION 3 9/2/03 ROVAL DOES NOT AUTHORIZE OR APPROVE ANY PARTS LIST 4 & 5 9/2/03 MISSIONS OR DEVIATION FROM REQUIREMENTS Of .LONGITUDINAL DEVICES 6 9/2/03 APPLICABLE STATE LAWS AND REGULATIONS State of California 'Dapadpentof1fo— osin an Con= ty DevolvpmaR PIER HEIGHTS 7 9/2/03 SET-UP INSTRUCTIONS 8 9/2/03 C --/7+N DES ANDSTANDA"S DATE (signature) SPA O. FOOTER SIZES This =Approval Expires WIND ZONE I - SINGLE 9 9/2/03 - DOUBLE 1-0 9/2/03'-) - TRIPLE 11 9/2/03 - HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 �O?Rko ESSlo,, - DOUBLE 14 9/2/03 M. - TRIPLE 15 9/2/03 No. 6 245rn P. (n V -DRIVE & PIER SYSTEMS 16 9/2/03 sT9TFOFICAY SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18&19 9/2/03 �C) COMPONENT PARTS AVAILABLE UPON REQUEST BUTTE COUNTY BUILDING DIMSION APPROVED 00 Lq M O CV O O 0 Tie Down Engineering; Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to -16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II Maximum pier height under main rails -see page 7. ` The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector. Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. Page 2 California 9/2/0 V GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation .System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 2,1) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square feet of bearing support' Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads, LUMBER/MOISTURE -TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED . Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards -will also be the same length in each Vector set-up, STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 California 41�/2/03 w Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector Oynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is shown on pages 10-13. LSU Combine Vector Dynamics & LSD C 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) 3. Longitudinal Strut (2 per system) 4. Tie Bracket (2 per system) Nc Ca op Examples of Possible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single Section I 00 I ( I I . I I I I I 1 I I I I I I I I I 1 1 1 1 00 18 Ft. Max. Wind Zone I Double Section 32 Ft. Max. - Forgreater widths use triple section design. Page 6 Wind Zone I Triple Section 1 Y I I 1 , I I I , I , I I I 1 I 1 I 1 Wind Zone I Tag Section I 48 Ft. Max. California 9/2/03 I I ' 1 I I I I i i 1 , I , , 1 Y I I 1 , I I I , I , I I I 1 I 1 I 1 Wind Zone I Tag Section I 48 Ft. Max. California 9/2/03 50 in max. Maximum Pier Heiaht Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi-section,homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without:anchors of 38". See page 12 for double section home high pier set instructions. 50 it max. Maximum Unequal Pier Heights Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier -and the shorter pier cannot exceed 26". Page 7 California 9/2/03 Set -Up Instructions for Vector System #59018 Long U -Bolts 1. Set Vector Pads 4, inside brackets & straps Clear all vegatation where pads will rest. Place Attach the inside tie brackets to the U -bolts over a long U -bolt in pad as shown. Press or ham- the compresion member. Attach a strap w/hook mer pad into the ground. or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out - 2. Set Block or piers on pads. side tension bracket. Cut strap 12 - 15 inches Center foundation blocks or piers on pads. Place past bracket. Attach strap & slotted bolt in pre-cut center compression member between bracket. Tighten strap until tight with 4-5 wraps blocks, resting on pads, centers between U -bolts around bolt. Repeat with opposite strap. as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 Califor 9/2/03 O n tv 0 w co N -WIND ZONE I, SEISMIC ZONE 4 Vector Dynamics Systems Required for Double Section Homes e 1 (Materials Required) s ioeCtn hom _ I double 01 -7 2 \ wle I \ I — —.r+r ♦E+iP .,� ..: _, _: .: .r lar vr�'$•d'-; — Y I NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. No anchors required. For pier heights up to 46" for 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. WIND ZONE I 2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': None (`Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' S 0 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. I . VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: r SOIL CLASSIFICATIONS Soil Class Types of Soils. Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 114-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 '. inundated silts, loose fine and lower sand, alluvium, loess, - varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. .. ` Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: _ 16x16 = 256 sq. in. -- - _ - - 20x20 = 400 sq. in. - - .or 16x18 288 sq. in. _ or 17x25=425 sq. in. _ -- EQUALS -- - _ EQUALS 2 -Vector Pads # 59275 1 -Vector Pad # 59271 - - 288 sq.. in. or 432 sq. in. 1 Vector Pad # 59130 'Vector Pad(s) exceed the surface area required when used as the equivalent /iste Bove. 'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En in r far with site conditons Page 17 California 912103 4 - NOTES RESIDENTIAL PERMIT NO. __.069-100-059 05-0186 JASPER, ROBERT 17 GREENBRIER, OROVILLE i Cont: SIERRA MHS +�E) MH PERM FNDJ 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY J=OK 0 = Nof 0K . = No Readyable ' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/0 -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or / P' L "ft./ P LPG Ext.; Steps -Doors -Landings 7. Well Clearance & Disconnect 8. Utility Clearance Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements Date Soils; Compaction -Structure Stability Card B-1 Date Card B-1 Date 4. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except ft 6. 1. Zoning Requirements -Setbacks -Easements Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 2. Footings; Size -Spacing -Marriage Line 9. 3. Gas; MH Test -Demand -Valve -Connector Plumb.; Cir. Test -Water Supply Test 4. Electricity; MH Test -Crossovers -Breakers -Clearances 12. 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand. -Valve 5. Electricity; MH Test 6. Water; MH Test 7. ,Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1' Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except ti's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater B. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access Garage Fire Protection Framing -RC Channel 21. Test Tub & Shower, Second Floor -Tub Access Property Line Firewall & Openings 22. Gas Pipe; Sixe & Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 23. Fire Sprinkler; Test Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 59. 24. Fixture & Transformer Clearance -Ins. Protection 60. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 61. 26. Size Boxes & No. of Conductors Stapled 62. 27. Romex Installed Close to Edge of Studs & C.J. 63. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al FINAL (Plans) OK except #'s 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Ext. Steps -Door & Sidelight Protection -Landings 32. Service -Riser Conductors & Ground Main Disconnect Smoke Detector 33. Equip. Clearances Panels-Motors-Mech. Equip. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 34. Clothes Closet Light -Shower Light -Spa Light Bedroom Exiting 35. Smoke Detector G.F.I. & Bath Fixtures & Tub Access -Spa 69. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 72. 36. A.C. Ducts Insulation & Support 73. 37. Vent Fan, Exhaust above insulation 74. 38. Condensate Drain & Overflow, Size & Grade 75. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 76. 40. Attic Access & Platform if Furnace in Attic Date Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Card B-1 Date Card B-1 Date Plb.; Elec. & Mech. Equip. Listed for Location Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) _ 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes ❑ No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (5311) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds 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 the Business and Professions Code, and my license Is in full force and effect License Class: License Numbs • 'r Dater 3 LO Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any cily or county which requires a permit to construct, alter, Improve, demolish; or repair any structure, prior to Its Issuance, also requires the applicant for such permit to Ole a signed statement that he or she is licensed pursuant to the provisions of 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 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).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Lew does not apply to an owner of properly 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 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profdssions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for. such projects with a contrac(ors) licensed pursuant to the Contractors' State License Law.). ❑ 'I am Exempt under Article 3 of the Business and Professions Code Dale: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally 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 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: ry C/ Carrier. Policy fr: S-7 ❑ 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 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 forthwlth.comply with those provisions. Date: Applicant: L "' 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 3708 of the Labor code; Interest, and attorney's fees.- - • PERMIT NO. BP050186 .. Issued Date: 02/03/2005 APN: 069-100-059-000 Site Address: 17 GREENBRIER DR ORO Map Index: Description: EX MH PERM FND(1440). Owner: JASPER ROBERT D & PATRICIA A 17 GREENBRIER DR OROVILLE, CA 95966 Applicant: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 530-534-0599 Contractor: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 530-534-0599 License #: 470386 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: t`y -7 2 7 7 CONSTRUCTION LENDING AGENCY This permit I hereby tseued•un the ¢plic eb provisions of the Butte County Coda anrUor u I hereby affirm that there Is a construction lending agency for the Resolutio to do wo k 161cat d above for w ch fees have been paid. performance of the work for which this permit Is Issued (Sec 3097 Civ.) 2 - / Name: BY _ Dale: _ - PERMITE P RES ON: Address: fDafel ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533; and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Habith & Safely 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 reed 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 stale laws relating to building construction. I acknowledge II Is unlawful to alter the substance of any off clal form or document of Butte County. I hereby authorize representatives of Ito County to enter upon the above mentioned property for Inspection purposes. Print Name: V!l((l/ r j� ` 'Signature: Dale: ❑ Owner ld Contractor ❑ Agent for Owner 0 Agent for Contractor Butte County Department of Development Services www.buttecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING March 25, 2005 P Robert D. and Patricia A Jasper 17 Greenbrier Dr. Oroville, CA 95966 r RE: Formal Warding Notice Z Building Code Violation Location: 17 Greenbrier Dr., Oroville, CA 95966 AP #: 069-100-059 Dear Robert D. and Patricia Jasper: This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated March 25 2005, notifying you that you are in violation of the BCC, and 1998 California Building Code (CBC), at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for the construction of a 16' x 10' shed. (a) Section 106.1 Permits Required (b) Section 108.1 Inspections Required (c) Section 108.4 Inspection Approval. Required Before Use or Occupancy. (d) Section 3405 Change in Use Requires Conformance to Code The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the pen -nit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to, correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Robert D. and Patricia A Jasper 17 Greenbrier Dr. App 069-100-059 Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice 'of Violation shall be recorded in accordance with Butte County Code Section 41=7. . The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact a Permit Tech at this office at the address or telephone number listed above. Sincerely, Scott Rutherford Chief Building Inspector SR: mb 1 2 3 4 5 6 7 8 .9 10 11 12 13 14 15' 16 .17' 18 19j 20' 21 22 23 24 25 26 27I 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte. I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division. 7 County Center Drive, Oroville, California 95965. I am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On March 25, 2005 the foregoing 10 Day Notice on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Robert D. and Patricia A Jasper 1.7 Greenbrier Dr. Oroville, CA. 95966 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on March 25, 2005 Oroville, California. f n Ml61, al� lo �, 0 0- Mity L Blackhorse k 14 February 2005 Butte County Department of Development Services www.buttecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING Robert D. and Patricia A. Jasper 17 Greenbrier Dr. Oroville, CA 95966 RE: Building Code Violation Location: 17 Greenbrier Dr., Oroville, CA 95966 APN: 069-100-059 Dear Robert D. and Patricia A. Jasper: This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location, as follows: Failure to obtain the required permits, inspections and approvals from this office for the construction of a 16' x 10' shed. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. 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 a Permit Tech in this office at the address or telephone number listed above. Sincerely Scott Rutherford iip . Chief Building Inspector SR: mj s Y ' STATE OF CALIFORNIA - DEPARTMENT OF DOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home Decal No: LBA3616 Manufacturer ID/Name Trade Name Model DOM DFS RY Exp. Date SKYLINE i 08/14/1973 _..._.-- Serial Number Labelllnsignia Number Weight Length -- Width SPC • SCC Exempt Use Type 01754323U 123777 60' 12' i 04 SFD LPT 01754323X 123778 60' 12' Issued Total Fees Paid Sep 21, 2000 $102.00 ; Addressee �,EHT OFy�GJ' ROBERT D' JASPER 17 GREENBRIAR DR • .ate • OROVILLE, CA 95966 0 0 KCl �IZZ 1 Ob ellTY�°Q� Registered Owner(s) ROBERT D JASPER PATRICIA C JASPER Joint Tenants with Right of Survivorship 17 GREENBRIAR DR OROVILLE, CA 95966 Situs Address 17 GREENBRIAR DR OROVILLE, CA 95966 Legal Owner(s) MERLYN O PINNEY 285 30TH ST ROSEVILLE, IL 61473 Lien Perfected On: 07/13/00 09:27:08 IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. . AND WHEN RECORDED MAIL TO: ROBERT D. JASPER PATRICIA A. JASPER 17 GREENBRIER RD OROVILLE, CA 95966 _ ORO -C, 1111 III III I Ilii I III III I 1111111 II II �IZ;ioio—X025334 Recorded I REC FEE 10.00 Official Records I TAX 60,50 County Of I BUTTE I CANDACE J. GRUBBS I Recorder 1 ROSEMARY DICKSON I Assistant I Fay @9z.00AM 07 -Jul -2000 I page I of Above This Line for Recorder's Use Only A.P.N.: 069-100-059-000 Order No.: 178960PE Escroxv No.: 178960PE-3 GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $60.50 X ] computed on full value of property conveyed, or computed on full value less value of liens or encumbrances remaining at time of sale, ] unincorporated area; [ ] City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, MERLYN O. PINNEY, an Unmarried Man hereby GRANT(S) to ROBERT D. JASPER and PATRICIA A. JASPER, Husband and Wife as Joint Tenants the following described property in the UNINCORPORATED AREA, County of Butte State of California; See Exhibit "A" attached hereto and made a part hereof. MERLYN 0. NNEY Document DaW. July 5, 2000 STATE OF CALIFORNIA )SS COUNTY OF . BUTTE ) on JULY 6, 2000 before me, PENNY C. ENGLAND, NOTARY PUBLIC personally appeared MERLYN 0. PINNEY personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument die person(s) or die entity upon behalf of which die person(s) acted, executed the instrument. WITNESS my id and official seal. ^ %� Signature This area for official notarial seal. o, r 1 .. r 1 Mail Tax Statements to: SAME AS ABOVE or Address Npted Below I EXHIBIT "A" DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA a COUNTY OF ,BUTTE, AND IS DESCRIBED AS FOLLOWS: ' LOT 258, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 30, 1970, IN BOOK 38 OF MAPS, AT PAGE (S) 5, 6, 7, 8, 9 AND 10. APN 069-100-059-000 !�e A PERMIT NUMBER - B 3644-73B P E PERMIT EXPIRES %D L7q:' 'OWNER Frank Gloistein cONTR: Acro-Lume, Oroville LOCATION (A.P. 34-60-59 17 Greenbriar Dr., Lot 258,K.R., Oro. r r r J COUNTY OF BUTTE Department of Public Works BUILDING INSPECTION' RECORD Zoning ' Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing _ Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. �— Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Final Temporary Final Cert. of Occup. Final d,�7' DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORItS 7 County Center Drive — Oroville, California 95965N(o � I�� Telephone: 634-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe tion purposes. X Date 3 ' Signature of 7:3 itee or A Receipt No. I 3X4/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Building permit expires Date ....... .. � � BUILDING OwnerJ f-, �� o � S i �•� SO. FT. OCC. BUILDING VALUATION ao 7zA Mailing Address -Ja17 R1.6 /G Telephone No. EL(v ,� ILC .E. �4C��• Fireplace Contractor C/Zo— /IL N,NE Total Valuation gao Mailing Address ,9ta L u� Permit Fee Plan Checking Fee&/or Penalty QL20 (J/LC r}Li� Telephone No. / Permit Fee $ /�Ir $ / Oe Building Address 2E-/ / PLUMBING No. @ FEE PERMIT FILING FEE $2.00 U ulLC L Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. -'�pQ — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F eerrW . a io Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel' Declaration Parcel Ma P 60R/W Improvements_ Lawn sprinkler system 2.00 Bld9(�Rec'd Porce I PI s pproval Permit Fee $ $ NEW ❑ ADDITION M UTILITIES ❑ OTHER 2" ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ='/z rGT gF5ro X o O -d a ! i w142M 6- I b'%V— A( So Main service incl. 1 meter 9 QCT lotK .3.0 41&,V,xll. Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal__ a?p Receps., switches & fix outlets 2oT35 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: �e8 G1B9E Hood, Ex. FanorF.A. Furn. Motor 1.00 ° I Evap. cooler, gar. disp.or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. %Sl��)`� Classification C_—�� Misc. wiring ±:J ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. M I,have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. lecertify 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 Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ t9tC authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe tion purposes. X Date 3 ' Signature of 7:3 itee or A Receipt No. I 3X4/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Building permit expires Date ....... .. � � COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the county of butte to enter upon the above-mentioned property for inspection purposes. Signature of Permitee or Agent Receipt No.�,2t�� White-D.P.W. — Yellow -Assessor — Pinl -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 06tPUBLIC WORKS Building permit expires DateY—. �____ �� BUILDING Owner ZX t SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address G d �P eq _.,aa Telephone No. - AQ 3/Z/ Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 a" r - Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping — 1.50 Each gas water heater or vent 1.50 A. P. No. .y� 65 p — rj —j Zo.4i P Gas piping system 1 - 5 outlets _ 1.50 Sc� Each additional outlet .30 Bees W. Sani ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 -� EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements p Lawn sprinkler system 2.00 Plans Recd �� Parcer—Approval Plorval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter _ Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel 02 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures all 10 Receps., switches & fix outlets 2023 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring am exempt from the Contractors License Laws of the State of California. Permit Fee $ Opw $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Work en's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE a" authorize representatives of the county of butte to enter upon the above-mentioned property for inspection purposes. Signature of Permitee or Agent Receipt No.�,2t�� White-D.P.W. — Yellow -Assessor — Pinl -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 06tPUBLIC WORKS Building permit expires DateY—. �____ �� UNIT 1 Vj 7�� ^_ ��•/K �.�.,'/Yiw C ,sa �F ;0-_--- --- •- � ,.. r t- ,v •'�^� .i!'+` � .O 'V � it � ' I X11,' / �e d;' � �� o) ' t `t x V' { I �_s �' D.h•.0 5 -�v u� r �'p %tf .ii w� '+}�°''�� 1 ` ,/ �{ G /�• �•s II14 /+�I rF ♦ cyst }+ AD fed With Y Fonhe SectI 4 ft rt,a�$ side rnobile Of Mob 1 44 -to- 2 BUTTE COU- NTY , BUILDING' DEPARTMI t .1 r,�,ve,-r ,t��c ice' 1zc rec14/?:��oma- �PPROVEb.�. r t r w:•.. 1,, W6 L%'X' . Tt ,red!-F"S776 4 /'� ��Cf, =i..:; 101 3s' L ILp6citTA. Tfls P Q ti �1 oEEl.► 0?()vlkLE CA atSol (P Obq ' too l�� S _ (o to I� SHED Po I AI! -- - - -. -. - f BUTTE COUNTY BUlLI7l6VG DIVISION APPO!/ED