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072-290-016
FAILURE TO FINAL TYPE A FLUES 5/23/93 "a V i 0 �Ct�i a h Re so %v�U 6 KOETZ, MARIE G. 072-29-0-016 16.5 HURLES CIRCLE, OROVILLE :(LIVING IN PUMP HOUSE W/O PERMITS) 3/18/92 *iOETZ,''Marie C. 165 Hurles.'Eir, Orovilhe 3585-84E(ele ser ch & cleanup -SF) .. 72-29-16 92-1435 B. KOETZ, ' Marie 165 Hurles Circle, Oroville �/a.l'Y� ' °.2 type A flues/sf 072-29-0-016 93-3900 Q,, KOETZ, MARIE , eo;ov �- 165 HURLES CIRCLE, OROVILLE"� PARTIAL REROOF/SF 072-290-016 _- --- -' #98-2792 KOETZ,MARIE 165 HURLES CIR., OROVILLE UNKNOWN GAS LINE FOR COOKSTOVE l 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: 165 HURLES CIR Owner: Permit NO: B09-0046 APN: 072-290-016 KOETZ, MARIE G LIVING TRU Issued Date: 01/15/2009 By THIP Permit type: MISCELLANEOUS 230 WINGFOOT Subtype: Demolition APTOS, CA 95003 Expiration Date: 01/15/2010 Description: DEMOLITION OF SINGLE FAMIL`. (831) 685-3538 Occupancy: Zoning: U Contractor Applicant: Square Footage: RON SMITH ENVIRONMENTAL INC/ D RON SMITH ENVIRONMENT Building Garage Remdl/Addn 324 HARVEST SKY COURT 324 HARVEST SKY COURT ROSEVILLE, CA 95747 ROSEVILLE, CA 95747 Other Porch/Patio Total (916)725-4299 (916)725-4299 FEE INFORMATION DBMSC Demolition $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B9541 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 Contractors' State License Law for RON SMITH ENVIRONMENTAL 783686 / A B HAZ / 08/31/2010 the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 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 I HEREBY AFF IR UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing wi ction 70 of Division 3 of the Business and Professions Code, and my license applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions ull for an ct. of the Contractors' 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 from licensure and the basis for the X 01/15/2009 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).): Contractor's Signature Date I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offerad for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: improves the property, provided that the improvements are not intended or offered for sale. If, ❑ I have and will maintain a certificate of consent to self -insure for workers' however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or . compensation, issued by the Director of Industrial Relations as provided for by Section improved for the purpose of sale.). 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. I, as owner of the property, am exclusively contracting with licensed Contractors to ❑construct 1 have and will maintain workers' compensation insurance, as required by Section 3700 the project (Section 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 of the Labor Code, for the performance of the work for which this permit is issued. My workers' contracts for the projects with a licensed Contractor pursuant to the Contractors' State License EXEMPT Cartier: Policy Number: Exp. Date: Law.). I am exempt from licensure under the Contractors' State License Law for the following I certify that, in the performance of the work for which this permit is issued, I shall not reason: employ a person in any manner so as to become subject to the workers' compen laws of California, and agree that, if I should become subject to the workers' X 01/15/2009 m sa' rovision f Section 3700 of the Labor Code, I shall forthwith comply with Owners Signature Date PERMIT APPLICANT DECLARATION X 01/15/2009 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS By my signature below, I certify to each of the following: UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES I am U a.California licensed contractor or U the property owner' or U authorized to AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN act on the property owner's behalf". I have read this construction permit application and the information I have provided is ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN correct. SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1 agree to comply with all applicable city and county ordinances and state laws relating to building construction. I aut rize representatives of this city or county to enter the above -identified property for., or i ctioAurpos s. Contractor, Property Owner* or Authorized CONSTRUCTION LENDING AGENCY DECLARATION 1 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 (Section 3097, Civil Cade).LU 01iforn'a+icensed 01/15/2009 Lender's Name and Address \UL Name of Permittee [SIGN] Print Date FILE COPY Lender's Name 8 Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO.. Fd "Wt47 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. OWNER INFORMATION CONTRACTOR st Name �� Frrk Name KIMC . fess ` l U City Address Q �X_b T State City F E-mail AP LICANT SIGNATURE X PROJECT LOCATION AN Property Address �J city GI A `\ z � J 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 DESCR/ TION OR SCOPE OF W RK: CONTRACTOR NameakA Name V 12 D SRA I Address Q �X_b T State City � Statt� Zip Phone_ ba Fax E-mail 114U�WVIOW_ Lic. # Class AP LICANT SIGNATURE X PROJECT LOCATION AN Property Address �J city GI A `\ z � J 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 DESCR/ TION OR SCOPE OF W RK: ARCHITECT/ENGINEER NameakA M � _ �p Address SRA I City Nc State Zip Phone Fax E-mail State License Number AP LICANT SIGNATURE X PROJECT LOCATION AN Property Address �J city GI A `\ z � J 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 DESCR/ TION OR SCOPE OF W RK: APPLICANT INFORMATION Name Flood Zone Address SRA I City Nc State Zip Phone Fax E-mail AP LICANT SIGNATURE X PROJECT LOCATION AN Property Address �J city GI A `\ z � J 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 DESCR/ TION OR SCOPE OF W RK: Zoning Flood Zone r SRA I Yes Nc Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes Nc Occ. Type Const. CFO 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 "PERMIT APPLICATION DATA SHEET" Reference Number: B09-0046 Date: 01/15/2009 Location: 165 HURLES CIR By: TMP Parcel Number: 072-290-016 Sub Type: Demolition Owner Name: KOETZ, MARIE G LIVING TRUST Phone: (831) 685-3538 Description: DEMOLITION OF SINGLE FAMILY RESIDENCE E] ❑ The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS 171 ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ 11 City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 M ❑ PARKS & RECREATION DISTRICTS ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 E] ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 ❑ ❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - - Other: 4& J I Aa,nahow llp,�IIK44?- Other: / "When filed, this application and all supporting rd6terial becomes subject to the California Public Records Act. All public information related to this application is ubjec to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: 1 Date: 01/15/2009 FILE SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 ❑ 11 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 M ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 ❑ Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 ❑ Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 M Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - - Other: 4& J I Aa,nahow llp,�IIK44?- Other: / "When filed, this application and all supporting rd6terial becomes subject to the California Public Records Act. All public information related to this application is ubjec to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: 1 Date: 01/15/2009 FILE 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 NOTICE TO BUILDERS" Before your building permit can be issued, your plans must be checked'for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your.application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written. request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municinalcodes.lexisnexis.com/codes/butteco/ "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. Reference Number: B09-0046 Location: 165 HURLES CIR Parcel Number: 072-290-016 Date: 01/15/2009 Owner Name: KOETZ, MARIE G LIVING TRUST Phone: (831) 685-3538 Description: DEMOLITION OF SINGLE FAMILY RESIDENCE t4Signature of Applicant: 1 Date: 01/15/2009 FILE Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat... Page 1 'of 1 Department of Consumer Affairs Contractors State' je�s Board Contractor's License Detail - License # 783686 ADISCLAIMER: A license status check provides information taken from the CSLB license database. Before . relying on this information, you should be aware of the following limitations. CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. Per B&P 7071.17, only construction related civil judgments reported to the CSLB are disclosed. Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number: 783686 Extract Date: 01/15/2009 RON SMITH ENVIRONMENTAL INC DBA K R ENVIRONMENTAL Business Information: 324 HARVEST SKY COURT ROSEVILLE, CA 95747 Business Phone Number: (916) 725-4299 Entity: Corporation Issue Date: 08/30/2000 Expire Date: 08/31/2010 License Status: This license is current and active. All information below should be reviewed. CLASS DESCRIPTION Classifications: A GENERAL ENGINEERING CONTRACTOR B GENERAL BUILDING CONTRACTOR CERT DESCRIPTION Certifications: HAZ HAZARDOUS SUBSTANCES REMOVAL CONTRACTOR'S BOND This license filed Contractor's Bond number 103297 in the amount of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 01/01/2007 Bonding: Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL The Responsible Managing Officer (RMO) LEONARD RAMEY LAMB certified that he/she owns 10 percent or more of the voting stock/equity of the corporation. A 1' bond of qualifying individual is not required. Effective Date: 08/30/2000 This license is exempt from having workers compensation insurance; they certified that they have no employees at this time. Workers' Compensation: Effective Date: 08/09/2000 Expire Date: None Conditions of Use I Privacy Policy Copyright © 2009 State of California http://www2.cslb.ca.gov/OnlineServices/CheckLicense/LicenseDetail.asp 01/15/2009 DEMOLITTON PERMIT ASBESTOS NOTIFICATION STATEMENT Pursuant to section 19827.5 of the Califomia Health and Safety Code, all demolition permit applicants are required to fill out this term_ "19827.5 A demolition permit shall not be issued by any city, county; city- and county, or state or local agency which is authorized to issue demolition permits as to any building or other structure except upon the receipt from the permit applicant of a cope of each written asbestos notifcation regarding -the building that has been required to he submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to fart bl of Title 44 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written noti (cation if the applicant declares that the noli lication is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in wriling, or it may incorporate the applicant: s response on the demolition permit application. Compliance with this section shall not be deemed to supersede any requirement of federal law" Attached is a copy of the Asbestos NESHAP Notification of Dernoliti on and Renovation form for the project located at (Address) (City) Assessor's Parcel Number (Y7--aR () Date Signature of Applicant (Zip Code) I hereby declare that a written asbestos notification to the United States Environmental Agency is not applicable to this demolition project located at N�Q�ks �_& &"\ D1,0\JA QN (Address) (City) (Tip Code) Date 1 �q Signature of Applicant 05/30/7007 02:23 FAX BUTTE COUNTY PHYLLIs L. MURDOCK, DIRECTOR _ MARK A. L,UNDBERG, M.D., M.P.H., HEALTH OFFICER WWW.BUTTECOUNTY.NET/ PUBLICHEALTH ENVIRONMENTAL HEALTH DIVISION PUBLIC HEALTH December 24, 2008 Pam Landram, Marie G. Koetz Living Trust 230 Wingfoot Aptos, CA 95003 CERTIFIED MAIL DELIVERY Subject: Remediation Work Plan for House/Prov ohetamine Laboratory Activities Ca 165 Ms. Landram; Butte County Environmental Health Division has completed the initial review of the Remediation Work Plan submitted on behalf of Pam Landram for her property located at 165 Hurles Circle, Oroville, CA determined to be contaminated by methamphetamine laboratory activities. The Remediation Work Plan as submitted is deemed acceptable with the following additions: • The septic'tank shall be pumped and cleaned; • After the septic tank is cleaned the tank shall be destroyed per the re- quirements of Butte County Division of Environmental Health, application enclosed. You, as the property owner, are responsible to implement the aforementioned Remediation Work Plan and ensure completion of remediation of all applicable portions of any contamination no later than 90 days after the date that this work plan was approved. Remediation of this property must be completed by March 26 2009 In compliance pursuant to Chapter 6.9.1.of the California Health and Safety Code. Should you have any questions, or require any further information, please do not hesitate to call me at (530) 538.7281. Leslie Roberts, Senior REHS/Hazardous Material Management Specialist CC: Mike Goodwin — KR Environmental Hal Thomas — Butte County District Attorney's Office Butte County Code Enforcement TEL- 530.538.7281 1202 MCRA LomA DRIVE FAx- 530.838.5339 OROVILLE. CA 95965 OUR MISSION 18 TO PROTECT THE PUBLIC THROUGH PROMOTING INDIVIPVAL, COMMUNITY AND ENVIRONMENTAL HEALTH WORKPLAN DEMOLITON OF SITE BUILDING CLANDESTINE DRUG LABORATORY 165 HURLES CIRCLE OROVILLE, CA Prepared for Butte County Public Health Department - Environmental Health Division 202 Mira Loma Drive Oroville, California, 95965 Prepared by KR Environmental, Inc. 1026 Almendia Court Chico, CA 95926 December 17, 2008 Project # 08-11 1.0 INTRODUCTION This Workplan describes activities to be conducted during the demolition of a single family residence * where a clandestine laboratory was discovered located at 165 Hurles Circle in Oroville, California (hereafter Site or Residence). This Workplan was prepared as requested by the Butte County Public Health Department, Environmental Health Division (Hereafter County). 2.OBACKGROUND The affected property is a double story, single-family residence. According to information obtained from a March 18, 2008 Clandestine Laboratory Field Worksheet prepared for the Site by the County, chemicals known to be associated with the Red Phosphorous Method of methamphetamine production were discovered in the northeast comer of the living room; along the east wall of the kitchen; along the western wall of the southeast bedroom; along the northern wall of the covered porch; and in two (2) burn piles located north of the residence. As a result, it was requested that sampling be conducted in these areas, and also the septic tank located at the Site. July 3, 2008, KR Environmental collected one (1) composite (2:1) wipe sample from the kitchen and bedroom (labeled Kit/Bed); one composite (2:1) wipe sample from the living room (labeled Living Room); and one (1) composite (2:1) wipe sample from the covered porch (labeled Porch). Laboratory results of the three (3) wipe, samples collected from inside the residence on July 3, 2008 indicate that concentrations of methamphetamine are greater than the California State Re -Occupancy Criteria for clandestine methamphetamine laboratories of 0.1 ug/100 cm2. On August 5, 2008, KR Environmental collected a sample from the septic tank (labeled Septic) that provides sanitary sewer services to the residence. Laboratory results of the septic tank indicate that chemicals used in the manufacturing of methamphetamine may have been disposed of into the septic system as evident with the presence of iodide. As a result of the above discoveries, KR Environmental recommended that the areas of the residence impacted with methamphetamine be properly remediated prior to re - occupancy, and that the residence septic tank be pumped out and washed. However, due to the age and the poor condition of the residence, it was decided by the property owner and KR Environmental to demolish the residence, and to remove the septic tank during demolition activities. 3.0 SCOPE OF WORK The proposed Scope of Work for this project includes obtaining permits for the demolition of the Site building; the abatement of any Asbestos Containing Materials (ACM); the identification and disconnection of utilities (electrical, gas, sanitary sewer, and water, etc.); the cleanup of Site debris located within the residence; the demolition of the residence; the proper disposal of cleanup debris and demolition debris; and the removal of the septic system. A. Permitting, Abatement of ACM, and Identification and Disconnection of Utilities Permits required for the demolition of the residence will be obtained from the City of Oroville Building Department and/or the Butte County Building Department. As part of the permit process, an Asbestos Survey will be conducted at the Residence to determine if any asbestos containing materials (ACM) are present within the residence. ACM identified in the Asbestos Survey will be abated by a licensed asbestos abatement contractor prior to the demolition of the residence. Electrical power to the Site have already been disconnected by Pacific Gas and Electric (PG&E), and the power line that connects the residence to the transformer located outside the residence has been removed. According to a representative of PG&E, there is no gas that was provided by PG&E that serviced the residence, and gas was most likely provided by a propane tank. During our inspection of the Site, a concrete pad to support a propane tank was discovered, but the tank had been removed. According to the property owner, was provided by a spring, and that to her knowledge, no water wells are located on the Site. During our inspection of the Site, no water wells were discovered. B. Removal of Residence Debris, Demolition of Residence, Disposal of Debris and Removal of Septic System All debris located inside the residence will be.removed by KR Environmental, Inc., a licensed hazardous waste remedial contractor, and placed into containers for transportation to the disposal facility. Once all the debris has been removed, the residence will be demolished and also placed into containers for transportation of the disposal facility. All Site debris and demolition debris will be transported for disposal at the Ostrom Road Landfill Facility; a Class II landfill located Wheatland, CA. The Ostrom Road Landfill's permit allows debris contaminated with methamphetamine and asbestos to be accepted for disposal. Upon completion of demolition and disposal activities, the septic tank will be pumped of its contents, removed, and transported off- site for disposal. 4.0 FINAL REPORT Consultant will prepare a Final Report summarizing the cleanup, demolition and disposal activities. A copy of the Final Report will be provided to the County and the Client. The Report will be certified by a Certified Industrial Hygienist. Opinions will be rendered in accordance with generally accepted professional standards, but are not to be construed as guarantee or warranty as to the potential liability associated with environmental conditions or impacts at the Site. Reports and opinions will be based solely upon services described herein, and will not be based on scientific tasks or procedures beyond the scope of described services or time and budgetary constraints imposed by Client. 5.0 CERTIFICATION This Workplan entitled "Workplan, Demolition of Single -Family Residence, Clandestine Drug Lab, 165 Hurles .Circle, Oroville, CA" was prepared under my supervision in accordance with the State of California laws. I am a Certified Industrial Hygienist in the State of California and the qualified professional responsible for this project. A—` �, Q ) - . - - avi uscavag �* P OM1( 4 CE:'T!FIc."not, la x,18ER '. %362 CP EXoPES E -2013 L. ; Q ✓�Y` YLVAN"LUSC pf�M C i1 � 01/14/2009 14:39 9165252066 NORCAL ENViHUNMLNIAL rwut �1 FA.7iC COVER SHEET NORCAL ENVIRONMENTAL MANAGEMENT P.O. BOX 1261 ELK GROVE, CA 95759 (916) 525-1006 FAX (916) 525-2066 Date: _._/ Lk t Company: K% C—Nxj tar,,N &c^` Fax Number: S 3 U '3 A3.3)-1 `i Re: 11 �V5 VA,g Cover Sheet !alas -7 Pages 01/14/2009 14:39 9165252066 NORUAL ENVINUNMLNIAL rraut rJ� I NORCAL ENVIRONMENTAL r0.Bnx Q6 MANAGEMENT Irllc Cirovc, CA 957,59 Ashows..Mnld &Rio Hazard Consulranrs 916.525.1006 PAX 910-525-2066 January 14, 2009 TO: KR )Environmental Attn: Mike Goodwin 1426 Almendia Court Chico, CA 95926 RE: Asbestos Survey 165 Herlis Circle Oroville, CA 95966 ASBESTOS SURVEY REPORT On. January 13, 2009 NORCAL Environmental. Management conducted an. asbestos survey of the structure referenced above. The structure is a one-story singlefamily home. The structure is scheduled to be demolished. Twenty-four bulk samples of suspect asbestos containing material were collected from the site. Samples were collected of wallboard material (401, 02 & 03), linoleum flooring in the south bathroom (#04, 05 & 06), and wall insulation. (#07, 08 & 09). Samples were also collected of a vapor barrier (#10, 11 & 12), and wallboard material (#l3, 14 & 1.5) on the exterior wall, roofing felt (#16, 17 & 18), and two layers of composition roofing, bottom layer (# 19.20 & 21), and the top layer (#22, 23 & 24). After collection, the samples were labeled, sealed, packaged, and delivered via Federal Express to Quantem Laboratories in Oklahoma, OR, to be analyzed via Polarized Light Microscopy (PLM), coupled with dispersion staining for asbestos content. The results of the bulk sample analysis indicate that the building materials sampled do not contain asbestos. The building materials can be removed by the demolition contractor.. If any additional suspect building materials are observed during demolition, NO.RCAL Environmental Management should be notified immediately. Sincerely, Jam A. C•ibson Certified Asbestos Consultant ROSH Cert. #01-2960 N 0 R C A L ENVIRONMENTAL MANAGEMENT Asbamr, Mold & Bio HazW ConsulLwas Asbestos Chain -of -Custody -7 PO. box 1261 Elk Grove. CA 95759 916.525.1006 FAX 916.5251066 t' ir TiM. r,T I V-V-:-Th&,x5 11.1 X First Positive Stop over 1% X Paint Count All Friable Samples Under 1% Page 'L of --L .01/14/2009 14:39 9165252066 NORCAL ENVIRONMENTAL rcaut n4 ■ M r 2003 Heritage Park Ddve / OWahoma CUy, OK 7312V / (405) 755-7772 J Fax (405) 7552058 Polarized Light Microscopy Asbestos Analysis Report, QaanTEM Lab No. 1.68997 Client: NORCAL Environtnetnal .Management Account Number: B395 James Gibson P.O. Box 1261 Date Received: 01/14/2009 Elk Grove, CA 95759 Received By: Sherrie Leftwich Date Analyzed: 01/14/2009 Project: 165 He.m Cir., OrovWc, CA Anelyzed By: Shelly Bromley Project Location: N/A Metbodologv EPA/600/.R-93/116 Project Number: 09.029 QuamTEM Client Color / Non-Asbcstos Non Fibrous Sample ID Sample M Composition Description Asbestos (%) Fiber (Vo) 001 1 Homogeneous White Asbestos Not Pmscnt Cellulose 20 Gypsum 002 2 003 3 004 4 005 5 006 6 Homogtmcous Homogeneous Homogeneous Homogeneous Homogmeow MI . . �1 White Wallboard White Wallboard Tan Linoleum Tan Linoleum Tan Linoleum Asbestos Not Present Asbestos Not Prosm Asbestos Not Prc=t Asbestos Not Present Asbestos Not Present Cellulose 20 Gypsum Cellulose 20 Gypsum Cellulose 20 Vino Binder Cellulose 20 Vinyl Binder Cellulose 20 Vinyl Binder 007 7 Homogeneous Crcam Asbestos Not Present Cellulose 90 Binder Insulation Synthetic 3 Unless otherwise noted. upon receipt the condition of the sample was acceptable far metal?vis. QnsnTEM is a NVLAP aimedired TEM and P01 laborstory (Lab Code: 101959-0), This rtpoit relates only to the specific items holed. NVLAP ameditstion applies only to analysis ptrfbrmed tui" FPA/60AtM4-t2-020 and EPA1600/R-931116 mcthoda, This report may not be wed to claim product cndorwmem by N",AP or any otbv agency of the L'S Cmva =nL This report may not be n:produeod c=0 in Rill, without the writlini approval of the laboratory. Page 1 of 4 .01/&14/2009 14: 39 9165252066 NUNUAL LNV 1KUNMtN 1 HL rHl7c uu EM LA80RATORIES 2033 HWtt88B Park Dr" / Oklahoma City. OK 731201(405) 755.72721 Fax (405) 755.2058 Polarized Light Microscopy Asbestos AnsIysis Report QuanTEM Lab No. 168997 Client: NORCAL Environmental Man.agment Acoount Number: B395 James Gibson P.CDau Received: 01/1412009 Elk Box 1261 Elk Grove, CA 95759 Received By: Sherrie Leftwich Date Analyzed: 01/14/2009 Project: 165 Herus Cit., Orovilic, CA Analyzed By. Shelly Bromley Project Location: N/A Methodology: EPA/600/R-93/11.6 Project Number; 09-029 Q%MTEM Client Color / Non -Asbestos Non Fibrous Sample.13) Sample ID Composition Description Asbestos (%) Fiber (%} 008 8 Homogeneous Cream Asbestus Not present Cellulose 90 Bindcr Inmirmon Synthetic 5 009 9 Homogrneous Cream Asbestos Not Present Cellulose 90 Binder Insulation Synthetic 5 010 10 Homogmcous Black Asbestos Not Present Cellulose 80 Tar Vapor Barricr 011 11 Homogeneous Slack Asbestos Not Present Cellulose 80 Tar Vapor Barrier 012 12 Homogeneous Black Asbestos Not Present Cellulose 80 Tar. Vapor Barrier 013 13 Composite White Asbestos Not Present Cellulose 20 CaCO3 Wallboard Sy.m Gypsum Paint Unless otherwise noted, upon receipt the condition of the sample was atx.eptaNle for analysis. QumTEM is a NVLAP a;rxeditrd TEM and PLM laboratory (lA Code: 101959.0). This report relates only to the specific items tested. NV1AP accreditation applies only to analyAis paformed utilizing EPA/fi00/M4•112.020 and .EP.A/600/R-93/116 methods. This mport m" n9t be used to claim produot endorsmmu try WLAP or arty othor agency of the US Cwverttmcnt. Thus report may not be reproduced except in Hill, without the written approval of the labotatmy. Page 2 of 4 •,01/'14/2009 14:39 9165252066 NORCAL ENVIRONMEN'IAL rAUL ob M I,ABORAYIDRIES 2033 Heritage Park Drive ! Oklahoma, cuy, OK 73120 J (405) 756.7272 ! Fax (4051755-2058 Polarized .Light Microscopy Asbestos Analysis Report QuanTEM Lab No. I69997 Client: NORCAL Envirvnomental Management Account NuMbe> : B395 James Gibson P.O. Boa 1261 Daze Received: 01/14/2009 Elk Grove, CA 95759 Received By: Sherrie Leftwich Date Analyzed: 01/14/2009 Project: 165 H.erus Cir., Orovilie, CA Analyzed By: Sbelly Bromley Project Location: N/A Methodology: EPA/600/R-93/116 Project Number: 09.029 QuanTEM Client Color / Non -Asbestos Non Fibron-, Sample 1D Sampl.c ID Composition Description Asbestos (VO) Fibcr 014 14 Composite Wbite Asbestos Not Present Cellulose 20 CnCO3 - Wallboard System Gypmm Mut 015 15 Composite White Asbestos Not Present Ceilulose 15 CaCO3 Wallboard System Gyps n Paint 016 16 Homogeneous Black Asbestos /rot Present Cellulose 80 Ter Roang 017 17 Homogeneous Black Asbestos Not Present Cellulose 80 Tar Roofing 018 18 Homogeneous Black Asbestos Not Pfescnt Cellulose 80 Tar Roo$.ng 01.9 19 Homogeneous Gray Asbestos Not Present Cellutosc 20 Tar Roofing Quartz Unless otherwise noted, upon receipt the condition of fie semple war acceptable for analysis. OuanTEM is oNVLAP amazlited TEM ad P1.M laboratory (J.ab Coda 101959-0). This report teletcs only to the spectfie items tested. NVLAP accreditation applies wily to analysis performed utilizing EPA/600/M4.82.020 and EPA/600Rt•93/116 wcdtods. This report may not be used to claim product endors==t by NVLAP or any other agaiay of the US Goverment. This report may not be roproduccd otcept in full, without the written approval ofthe laboratory. Page 3 of 4 n .01/-14/2009 14:39 9165252066 NORCAL ENVIRUNMLNIAL rHut 01 S7!! LABORATORIES 2033 Heritage Park Drive / Oldahoma City, OK 731201(406) 756.72721 Fax (405) 755-2058 Polarized Light Microscopy Asbestos Analysis Report QuanTEM Lab No. 168997 Client NORCAL Environmental Management Account Number: B395 James Gibson F.O. Box 1261 Date Received: 01114/2009 Elk Grove, CA 95759 Received By: Sherrie Leftwich Date Analyzed; 01/14/2009 Project: 165 Herus Cir., Oroville, CA Analyzed By: Shelly Bromley Project Location: NIA Methodology: EPA/600/R-93/116 Project Number: 09-029 QtmnTEM Client Color / Non -Asbestos Non Fibrous Stltttple ID Sample ID CompoRition Deserip0on Asbestos (%) Fiber (%) 020 20 Homogeneous Gray Asbestos Not Present Cellulose 20 Tac , Roofing Qullrv- 021 21 Homogeneous Oras Asbestos Not Ptemut Cellulose 20 Tar Roofing QuarD 022 22 Homogeneous Brown Asbestos Not Prescm Chas Fiber 15 Tar RooSng Quarri. 023 23 Homogeneous Brown Ashemm Not Prescnt Glass Fiber 15 Tar Roofing Quartz 024 24 Homogencm Brawn Asbestos Not Present Glass Fibcr 15 Tar Roofing QuWa \ 1/142009 SIx—Uy bi6dr, Analy Date of Report Unless ollterwise rtdcd, upon receipt the condition of the sample was acceptable for analysis. Q=TE.\I is a NVL.AP =-edited TEM and FLM laboratory (Lab Code: 101959.0). This report relates only to the specific items tested. NVLAP mcmditation applies wily to unaysis performed udifaing I`PA/600/M4.82-020 and 13PM600/11-93/116 methods. This raW may not be used to claim product endorsement by NVLAP or any other agency ci the US Cmwernmem. This report may not be reproduced oteept in M, whhout the written worovel of the laboramry. Page 4 or 4 I 072-290-016 #98 2792 KOETZ,M-ARIE 165 HURLES CIR., OROVILLE UNKNOWN GAS LINE FOR COOKSTOVE I2, .0- 2- 'D 11 4,au-A d COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541P MIT -NO. q,` (Rev. 12/96) APPLICATION AND PERMIT T I -I t - ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER t It 1(11.4- TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 16S TTYMT Fq rTRr T.F 0T?017TT,T r CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 165 RiTRT, , L7 JJ ti 1 l , •jn . Energy Plan Checking Fee $ $ ORnviLLR PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: r:AC PIPE MR f',00r;T0A7F Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 3?.(rt ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoOA oR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the orkers' compensation provisions of section 3700 of the Labor Code, I shall orthwith comply witb those provisions. X 0 _ Date i�— _ 9A Sign ture of Applicant - Ownyr ❑ Contractor E}�Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction structures over 3 stories in height. Main Service zooA To ,000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ADc. S.3.5¢FT: NEW NON-ROSID. T.MULTI.OUTLET ITS @7,50 POWER APPARATUS 8 SINGLE OunET CIR. OUTLET OR f7XTURES @ I'50 Ex. Occup. 6A0 @ .so Ex. Occup. oUTLEaTsS R D OEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. 11 TOTAL FEE $ I i . n7 HAZ. 1 D FEES I IMP I FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abovjfor "hich fees have been paid. By l A , ,�_ Date L• Iof PERMIT EXPIRES ONf z Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 0• (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER keA 41' 072--290-016 ZONING BUILDING PERMIT OWNER r TELEPHONE 5192--5062 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5 uT F n `I T CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 3.65 TTT, T Fc CIR, Energy Plan Checking Fee $ $ OROFIT LE PERMIT FEE $ LAT NO. SUBDNISIDWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Op e DT"T; F0'? ('00'1ST017 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ - ELECTRICAL PERMIT Fling Fee 2+0.00 a00VR LE Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: kI, as owner of the property, or my employees with wages as their sole compensation, • will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the orkers' compensation provisions of section 3700 of the Labor Code, I shall orthwith comply w' those pr visions. X Date 12---3 Sign ture of Applicant - ❑ Own r ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep a demolition or construction of structures over 3 stories in he'ght. Main Service WA TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( & ACC. BLDS. 3.50FT. NEW NON-RESID. MULTI.OLmET 97,50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20@''50 BAL Q .SO Ex. Occup. 01lTIEt°TSA RLIp.OR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee .0.o0 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ DDC CONST. TYPE TOTAL FEE $ 35.00 HAZ. p, FEES IMP FLOOD CDF PARCEL PD I-� ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for hich fees have B PERMIT EXP RES O42 C the applicable provisions Resolutions to do work been paid. / `Date ` r (Date)�- Receipt No. Z LE: WHITE-D.D.S.-B.D. C NA -ASSES PINK -INSPECTOR GOLDENROD -APPLICANT r OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sib, Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan. to provide the major labor and materials for construction of the proposed property improvement: YE NO C3 2. 1 HAVE O�\ HAVE NOT 2gned an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construcd6n:` "' NA►��:____ ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. s 4. I plan to provide portions of this work, but I have hired the foliowing person to coordinate; siipervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOV NER: _Li4,/^_____> SOCIAL. SECURITY NUMBER: DATE: /?-- ')-- I�L NOTE. This Owner Builder Verification is required by Section 19831 and 19832 of the• California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. `\ OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sib, Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan. to provide the major labor and materials for construction of the proposed property improvement: YE NO C3 2. 1 HAVE O�\ HAVE NOT 2gned an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construcd6n:` "' NA►��:____ ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. s 4. I plan to provide portions of this work, but I have hired the foliowing person to coordinate; siipervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOV NER: _Li4,/^_____> SOCIAL. SECURITY NUMBER: DATE: /?-- ')-- I�L NOTE. This Owner Builder Verification is required by Section 19831 and 19832 of the• California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER (77 z -;fid --v ( G ZONING BUILDING PERMIT OWNER I e. TELEPHONE - 5O6 ?� SO. FT. OCC. BUILDING VALUATION OWNER I NG ADDRESS L� CONTRA R'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Flfe IflCe Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAKING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 10.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each nas water heater or vent .00 TYPE OF WORK New ❑ Addition 13 Remodel 13Ublities ❑ Installation E3 Other � Describe Work: / yl //� C ��-}j 2 �� cI;- Gas piping system 1 - 5 outlets 15.00 � Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600VOR LE Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed -rf the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'. compensation laws of California, and agree that' I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 100A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. SO OR A a ADc. Bins. 3.5¢x: c.014 Noµa6ID MULTI.OUTLFT @7,50 POWER APPARATUS a swGLE oun. CIR. Ex. Occup. OUTLET OR FDCTURES BA2L@''5D L @ .SO NS Ex. Occup. ovri s A 16.CERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinci 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPE TOTAL FEE $ VThispermit D FEES IMP FLOOD CDF PARCEL PD HDL ' is hereby issued under the applicable provisions oteutte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ate Receipt No. WHITE-D.D.S..B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT /Z_ z_ ;FY 1��f t4L--. U -• W Marie Graham Koetz 165 Hurles Circle Oroville, CA 95966 RE: Building Code Violations 165 Hurles Circle, Oroville Dear Ms. Koetz: April 28, 1992 A.P. #: 72-29-16 This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: Failure to obtain the required permits, inspections and approvals from this office for reroof, two woodburning stoves and construction of an addition. Since permits and inspections are required for the above work, please contact this office within ten (10) days of the date of this letter, submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated.' Should you have any questions concerning this matter, please contact Rod Taylor or Jim Glander of this office. RT: ds cc: Assessor Building Inspector Yours very truly, William Cheff Director of Public Works J.F. Glander Manager, Building Inspection 4 c= . R COUNTY OF BUTTE DEPtRTMOF PUBLIC WORKS • 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ' IT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �s72�lir ! s Ae2 z (S�--- `;4o, r') /Cc`7" --r�/ t 1--Ilo u S � -7-a V .5wSTALL G41 d—Its 19A -Z 9& CAI Sl i Date3 f I � Z Inspector - } 072-29-0-016 93-3900 ` f KOETZ, MARIE•} 165 HURLES CIRCLE, OROVILLE PARTIAL' REROOVSF, y J r. ►o ji i •a S t r • � l f �\ r 1. • { L i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION`=• 7 County Center Drive - Oroville, California 95965 - Telephone (916)'538-7541 PERMIT NO. APPLICATION AND PERMIT � ASSESSOR PARCEL NUMBER 072-290-016 ZONING U BUILDING PERMIT.-. 1 OWNER HARIE KOETZ TELEPHONE 4 SQ. FT. OCC. BUILDING VALUAWON OWNER'S MAILING ADDRESS 167 HURLES CIRCLE OROVIILE CA 95966 EST CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS .,�s Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS I / Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER XONE CENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 165 110LES CIRCLE. OROVILLEPLUMBING PERMIT FEE $ PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or. heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDI'jISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SPECIFY SF LJ Duplex ElMobilehome ❑ Other Gas piping system 1 - 5 outlets 15.00 ws`Buif. ing sewer 15.00 ''4Mobile Home S G I W TYPE OF WORK I y New ❑ Addition ❑ Remodel C) Utilities ❑ Installation ElOther`a Describe Work: PARTIAL REROOF W/COMP EF�20'�� PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 ` Main Service , 800V OR LE OLESSSS ) 23.00 200A fl Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCC UP. . OR ADONIS. ( 8 ACC. BLDS. ) 3.50 FTSD. CONTRACTORS LICENSE LAW I I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of thesiness and Professions Code and my license is in full force and effect. License No. Classification Il I, as the owner, or my employees with wages as their sole compens on, will do the work, and the structure is not intended or offered for sale. (Secy 044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)' ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ I.00 Ex. OccFIXED APPLNS. OR up • ( OUTLETS (RESID.) EA. ) 5•�� Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23,00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): /�Q This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject tole Worker's 10. Compensation laws of California. Notice to Applicant: If after making this statement, should you become s ject to the Worker's Compensation provisions of the Labor Code, you must forthwith omply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state thatthe above informationis correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �1� I '- - �� Date ` Signature of Applicant 4 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and i1 or construction of structures over 3 stories in height. Via' is Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ HAZ• I D. FEES I IMP FLOOD I CDF PARCEL PD HD ISS 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. I a rDIRECTOR )OF/P�U,BLIIC�WORKS �J Q 2 / a w/ir(lA�lrl_��ilJ' Date /f�� /J MIT EXPIRES ON 7 i IDetel 153904 '= Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENRODa'APP. 4CA COUNTY OF BUTTE - DEPARTMENT OF„DEVIELQPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754_ T ERMIT APPLICATION' AND PERMIT V ASSESSOR PARCEL NUMBER 072-290-016 ZONING U BUILDING PERMIT OWNER MARIE KOETZ TELEPHONE SQ. FT. OCC. BUILDING VALVA ON EST 600 OWNER'S MAILING ADDRESS 167 HURLES CIRCLE OROVILLE CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 17.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS HU PERMIT FEE $ 37.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF bDuplex ElMobilehome El Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W ` 20'00 TYPE OF WORK New ❑ Addition ❑ Remodel ElUtilities 1:1Installation El Other Describework: PARTIAL REROOF W/COMP PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO l000A ) 46.00 NEW CONST. DWELLING OCC P. OR ADDNS. ( & ACC. BLOS. ) so. 3.5C FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) D I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) D I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON RESID. ( BRANCH CIRCUITS ) @7.50 (8 SINGLE APPARATUS R. ) Ex. Occup. ( OUTLET OR FIXTURES ) zo p (.00 B20AL. .SO Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): 1 This permit is for $100.00 (valuation) or less. D 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X *� WL \-,— Q I \A O 6\z Date \�. `� Signature of Applicant :,X Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ HAZ. 1 0. FEES IMP I FLOOD I CDF PARCEL PD HD ISS This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated^e for which fees have b IRECT CVTR PUB By I A41 PERMIT EXPIRES ON !De tel provisions to do work n paid. ORKS Date Ig- 153904 Receipt .D. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - Depattment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An -"owner -builder'.' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid _unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) lipS 2. I (have/have not) _Qt�2_ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following gersoo 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 Signed: Property Owner c �`D Social Security Number Date \''� `\ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. -This verification must be completed and returned to our office before we are per- mitted to issue the permit. :� �.;,•"�L`t�f..t,��.N�r,+.Y�br�..sr...,,...�.r �'r='r.13..d+�'['-�.i'r'�'E.»?'�,�r�:.�n 4+�e'st+�'�`_i� ,, u,�SY nt4'^�:i r.:aser� 72-29-16 92-1435 B KOETZ, Marie �'r�alarr� 165 Hurles Circle, Oroville 2 type A flues/sf S/SI4.3 . . +-.r ae• .;Tw 'F^ii�'+s'r, . , r..... / a yrWa•+E°y4tYlw. '4 ...e 1..=,+ -•..rt,., �� ` :"'°°' ;,><?,..,.�,N-r€1. '•q4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC'WORKS PERMIT NO. 7 County Center Drive - Oroville. Calif6mla 95965 - Telephone: 916/538-7541 a APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ ZONING BUILDING PERMIT OWNER MARIE RQti?T,L • TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 165 HURLES CI ORLLE 95 66 CONTRACTOR'S NAME OWIM TELEPHONE CONTRACTOR'S MAILING ADDRESS .. Fireplace "A" 310W CONSTRUCTION LENDER UNKNOWNTotal Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 45,00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS SFS 165 MIPLUMBING Permit fee $ PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF[K Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ RemodeI ❑ Utilities ❑ Installation❑ Other ❑ Describe work: INSTALL TW NEW TYPE A FLM TO EXIMNG WOODSTOYES INSTALLED W10 PERMI"I'$ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 1 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): i ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSlnes$ and Professions Code and my license is in full force and effect. A License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed 'contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OCCUP.Ed\ 3.64sq.ft. NEW CONST. DWELLING OR ADDNS. ACC. BLDGS. // NEW CONSTR ULTI-OUTLET BRANCH CIRC ITS @ 5.00 NO U, POWER APPARATUS .&) SINGLE OUTLET CIR. / Ex, OCCUp\OUTLETS OR FIXTURES 20 76 AL AS \ Ex. QCCUp. OUTLETS FIXED PIRESIO.IREA.1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed, on file with the County of Butte Building Department a Certificate of -Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation perrnit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X r i] ,kt%; a ( ��n� 'i� G Date �� `1 % 1 Signature of Applicant — Owner ContQr ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. ;NMobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 60-00I HAz 1 DFEES I IMP I FLOOD coF PARCEL PD HD IssuE This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do work indicated above,fp?which fees have been paid. til ACTOR OF PUBLIC WORKS By s .00 V_ / Die Sf= PERMIT EXPIRES Date Receipt No. 115780 p '.NHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Caliiornla 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 72-29-16 ZONING BUILDING PERMIT OWNER MARIE KOETZ TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 165 HURLES CIRCLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace i 11Art 3,000 CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 165 1111RI-ES CIRCLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: INSTALL TWO NEW TYPE A FLUES TO EXISTING WOODSTOVES INSTALLED W/O PERMITS Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W= 15.00 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A1 37.50 NEW CONST. DWELLING OCCUPM 3.64 sq.ft. OR ADONIS. ACC. BLDGS. NEW CONSTR ULTI.OUTLET NO N.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & SINGLE OUTLET CIR. EX. OCCtJ OUTLETS OR FIXTURES 20 76 p FIXED Ex. Occup. OUTLETS P(RESID )REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date 5 Signature of Applica t — Owner IX1 cant c r ❑ Agent ❑ An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 Stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ Energy P occ CONST TYPE I TOTAL FEE $ 60.00 HAZ I DFEES I IMP I FLOOD I CFF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work IndIC,00 abov which fees have been paid. I C OF PUBLIC WORKS By �'�— rDe S Y PERMIT E PIRES Date S S Receipt No. 115780 '.NNITE-D.P.W., YELLOW-A58E38a R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OR BUTTE `PARTMI5Q,F PUBLIC WO w- 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 PERMIT OWNER �/7%� A e -?'Z - - BUILDING DIVISION TELEPHONE (916),538.7541 APPLICATION DATA SHEET Proposed Building Use Y(�� �'�P�S Building Inspector Date 5 2 - At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 4, DATE P.ECEIVED By 1. All items have been submitted . ......................................... ........... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit....... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: ' (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -Inspection for to Building Inspector . . to Building Inspector (Dale) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ..................4....... . 23. Owner -Builder Verification (Given to owner , Mail to owner ). ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements ................ `-`- 31. Existing violations/expired permits . ....................................... 32. Plan check list . ..................................................... 33. 34. ' When you issue the permit, process as follows: Mail to owner. Mail to contractor. ' Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation to Acreage Applicant ` t9 ' r � Copy of Haz-Mat form sent Health Dept. . Fire Dept. Air Pollution- Date Copy of plans sent Health Dept. Fire Dept. T Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. ,7 2. Additional items required: ' Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works J%. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT NO. A,routineinspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If -you have any questions pertaining to this matter, or need additional explanation, please cxmiact this office immediately 0 u2 Kc: -'nom / I- 4=— Date Date - Z S� Inspecto REV 1OW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone.: 916-538-7541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) "1-�cklv`c. signed an application for a building permit for the proposed work. 3. I have.contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of,this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: (1 Property Owner CA Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of -the California Health and Safety Code: ... This verification must be completed and returned to our office before we are per- mitted to issue the permit. V Marie Koetz Permit #3585-84 OFFICE COPY" Address GAS ? pate == Meter By l n , 717 s, ' ELECTRIC' Meter By, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS t' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIONAND PERMIT PERMIT NO. ASSESSOR,PARCEL NUMBER "/'l lr c^ ZONING BUILDING PERMIT OWNER r VC C 7Z TELEPHONE S0. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS tk,X 9399 AyIe CONTRACTOR/JJ /''SN'A'M//E� r_k vW lV TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER -� UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGI{IN��EyE,RR LICENSE NO. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS I Permit fee $ BUILDING ADDRESS )� �d PLUMBING PERMIT Filing Fee 10.00 t'}.���4()h N Z�' 1'1l) t ! o C C, r r+tI �' p r -h, Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF 2 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home IS I GJWJ 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Q' Describe work: h C C 1 /600V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR LESS Main service 100 AMP OR LESS 10.00 /D,00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2I/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) �❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ' t❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. MULTI -CUTLET NON-RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR POWER APPARATUS & NON -RES D. (SINGLE OUTLET CIR. Ex 20@50a . Occup(o TS OR FIXTURES XBAL®30 FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ,(j, 50 fit' p T �J 0 0 Permit Fee ` $ n n Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under.penalty'of perjury (check one): I ❑ The permit is for $100.00 (valuation) or less. } ❑ I have placed on file with the County of Butte Building Department ' .. a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure., , ❑ 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XL : ` 4 '- Date \� Signature of Applicant - Owner on' Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCuP. GROUP I TYPE OF CONST. PARCEL PD I HD I ISSUEi �/ �►" This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC .► B i 1 -'/Yrs � _ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS _ Date�l�r! �/ O Receipt No. �.� g —11 WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATI&AND PERMIT PER I40 3All�7 ASS S OR P RS}- NUMBER �— /{p ZONING /#'/, BUILDING PERMIT G +�/d� TIB ~�� SO. FT. OCC. BUILDING VALVA I O�'WiJE� R'S MAILING ADDRESS, �•rQfC�IX 3 1�3j !/�'V/ CONTRACTOR'S NAy1E, J(//MAILING TELEPHONE CONTRACTOR'S ADDRESS Fireplace CONSTRUCTION LE R UNKNOWN Total Valuation $ Filing Fee $ 10,D0 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR E I EER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUI 1 G ADDRESS PLUMBING PERMIT Filing Fee 1000 1 a Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 �—,/ USE OF STRUCTURE SF fJ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U ilities ❑ Installation El Other Describe work: C— 73 h-fJ— 1 Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee Filin Fee 1000 service 100 AMP ORV OR LESS10.00 00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 2/20sq 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 and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, 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 MULTI -OUTLET IRC ITS 2.50 ea NO N.RESID BRANCH _,RC" NEWNON.RESID. CONSTR. POW&1 WSINGLE OUTLET CIRER APPARATUS , / Ex. Occu BAL@30 P�o OR FIXTURES 9AL®ao FIXED FIXED APP LNS. OR EX. Occup. OUTLETS (RESID,) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 A5- 00 ` v- J Q 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 of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseqence of the granting of this permit. X ��� �� ` 3 �0 - Date Signature of Applicant — OwnerContractor E]Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE occuP. GROUP I TYPE OF CONST. PARCEL PD ND ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREMR OF PUBLIC �FRMIT EXPIRES Date the applicable piovi- resolutions t.) do fees have been paid. WORKS f Date ZL J �T (WHITE-D.P.W., // IS -'FV Receipt No.3 g YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Marie Graham Koet-z 165 Hutles Circle Oroville, CA 95966 RE: Building Code Violation 165 Hutles Circle, Oroville Dear Pts. Koet.z: September 22, 1993 A.P. #: 072-29-1-016 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above referenced location: Failure to obtain approval of previous corrections and failure to obtain final inspection prior to use and permit expiration for two type A flues for single family residence. Since permits and inspections are required for the above work, apply for the required permits to make corrections and complete project and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. 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 questions concerning this matter, please contact Scott Rutherford or Bill Barron in this office at the address or telephone number listed above. JFG:dms Yours very truly, G` Scott Rutherford Supervisor, Building Inspection ' w �w ti Of ICZY ti 'ANN - .`q., ..r .. / ��•'w �.� \ }.•y ti t.• �� '!'.yri . 'S,�`ti, j r�� . H�I / � • ' ', `\ l,`Tl :t � •� .• ,�`.F��, i 1 Z. , u A , r{j^ • 1m Qll Jyu rk- 14 ,Jti �S.. �?I i -. .t 'P' i .-y , ihw i� � U �,• t l� , cy,K "T' la '01 - s u• �:�'.� — :L V i t V.1 'S� .r ' �Qi.. ; {'s':i.w... � ,. u., .x v . I .{ : y, _ ,!• v;' •"'` ; � � i. 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