The URL can be used to link to this page

Home My WebLink About072-310-043r • - � � n ems° _ ° ' a � e - . - FMOBI;��'(OME AND DECK INSTALLED 72-31-43 �\QLIVE A.O.H. CHURCH OF GOD O7Z� PEkMITS PE89 0 endTarziak Ln on S/S, Forbestown Permit 1'2 �'11'-84E(ele ser for well & fut ure lot de�ielopment) i 72-31-43a� 1?ermirf W86-868, p; H(new shop/stg bldg) - `x\72-31-43 Permit#2550-88B,P,F-_�;to replace 298 86 & 2679-86-- (new_ shop��• �, •• yA 72-310-43 PermiT.#353-9OB,P,E(util. ) •8LEC i GAS - COMPACTION TEST REQ SUPPORT STRUCT REQ a -'P 72-31-43 < Permit #354-90MHIw Issued ,..�•., a -. AP 72- -43 Perm4t #355-90B (Aec.k /MH - -- 072-31-.0-043 91-3542 MT OLIVE A.O.H. CHIU,CH CONTR : OWNER �[T 605 STARZ I AK LN,. "fORBESTOWN COMPLETE S TG B L, Via:-�egC un d�Zs • - � � n ems° _ ° ' a � e - . - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrGville, California 95965 - Telephone: 916/538-7541 APPL10ATION AND PERMIT PERMIT NO. 3 --q0 FAI ASSESSOR PARCEL NUMBER 31 43 ZONING BUILDING PERMIT OW TEL HONE Ow I 2 Ave, Menlo Park SO. FT. OCC. BUILDING VALUATION CONTRACTOR'S NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN c Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomdEj"' Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home cily 10.00e TYPE OF WORK/ New ❑ Addition ❑ Remodel❑, Utilities E—y Installa)i7 Other ❑ Describe work: � _ ,5610 SQ P7" Y 1' a � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 0. 00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ l am licensed under provisions Of Chapt. 9, Div. 3 of the BuslneSS and Professions Code and my license Is In full force and effect. License No. Classification 1, as the Owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&` OR ADDNS. ( ACC. BLDGS. I , 2/20sgft NEW CONSTR. ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SOS 5ALAL®so FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 15.00 Permit Fee $ 35.00 Contractor 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 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 Filing Fee 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 aid Coun in nsequ ce of the granting of this permit. X Date Sign jure of Applicant — Owner_P�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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 90.00 H� CUA PARK SCHL — FL/ PAR c/ PD D IssuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees IRECTOR PUBLIC By J PERMIT XPIRES Date the applica le provi- resolutions to do have been paid. WORKS ate 7' Y—� / Receipt No. :58638 WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT .— _ f - �.- �': " ��hdr"�✓` ra!"7� •_ '.. ' COUNTY OF BUTTE - DEPARTMENT OF. PUBLIC WORKS - BUILDING DIVISION " 7 COUNTY CENTER,DRIVFOROVILL , 4ALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET 2 Permit No. IcJ-%vim/ OWNER GIT- n///y, / '�//��%/J A. P. No. Proposed Building Use ,��7 Building Inspector / S- Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: - DATE RECEIVED APPROVED 1. All items have been submitted . .................................... _ -- 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 1110 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 41 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. -Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and -layout in duplicate (required prior•to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... ` School District fees paid .............. Sanitation approval from��Health Department '7' q' 4 5. City of Chico plumbing permit ...................................... 16. Plot plan and business license approval from City of �\ (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW •*' X19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to ' ' Building Inspector 21 Contractor's license information (No., Name Style, Classifications ... &4.Certificate of Workmans Compensation Insurance ..................Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) Recorded copy of Agricultural Acknowledgment Statement ......... etter of signature authorization ................................... ` 6. OU 'W7 _*W yX3%�hpeprocess as f Al,ow, s: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspecto Other icant Date t Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit isstl Circl 1. Index permit for above'items No: 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by .date Contractor, designer, owner, was advised of above required data by—phone _malI—counter by date Plans checked by Date Plans approved by Date "" Sets of plans on hold in . File cabinet AP folder Copy—DPW r TO Buildino Department FROM: Environmental Health SUBJRCNSanitation Clearance S7 AP# Owner C.)r � � Lo � n Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply lei° 7-04 clearance for bedroom mobile home. Other Sanitarian COUNTY OF•BUTTE - De2artment of Public Works 7 County Cente~� brive, 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 bee issued until this verification is received. �1. I personally plan to provide the major labor and aerials for construction of the proposed property improvement (yes or no) . 2. I (have/have not) �N e 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: Property Owner 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. 34 V3; ->W tf 1 !• + ,�� T u t COUNTY OF'BUTTE - DEPARTIVI NT OF' PUBLIC WORKS 7 County Center Drive„-.Orc-*1e, California 95965 -Telephone: 916/538-7541 APPLICATION AND PERMIT .1 PERMIT NO.(� -�- ASSESSOR PARCEL NUMBERZONING / BUILDING PERMIT .-AE Mt Olive AOH Church of God 415 T PHONE 853-9715 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 605 Hamilton Ave f Menlo Park 94025 CONTRACTOR'S NAME - Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00, Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 25.00 BUILDING ADDRESS 86 Starziak Lane Forbestown Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater.or vent 5.00 USEOFSRUCTURE SF Duplex❑ Mobilehome Other ❑ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti I -ties ❑ Installation , Other ❑ Describe work:{/'�i/_/S A.�l/�L�C3� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ) El am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. Classification I N, as the owner, or my employees with wages as their sole compen- Nation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. (ACC. BLDGS. , h¢sgft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURESBA 50 FIXED APP LNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 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. . j I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 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. I also agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, costs, and expenses which may in any way accrue a' Co y ' onse ence of the ranting of this permi %� � Date Signature of Applicant — OwnerK 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 $ 45. 00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ AL E�,OAPD HAz �,agains CUA PARK HD-nnall Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERM EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS r± Date 7�q/,y / G �Z Receipt No WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BU31,TE'�: DEPARTEENT OF PUBLIC WORKS - BUILDING DIVISION - 7 COUNTY CENTER DRIC*E - OAOVILLE„CALIFORNIA 95965- TELEPHONE: 916/538-7541 "PERMIT AP CATION DATA SHEET Permit No.— OWNER o._OWNER CA 'i, G) A. P. No. 7'a' 3� –7 Proposed Building Use /% (Building Inspector -i s. Date"6 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... ....... -. 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ................. :...................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ................................................. 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16:"Plot plan and business license approval from City of (see City for"other requirements) 1 17. Planning approval for (A) Use: (B) Parking: 118. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) '21. Contractor's license information (No., Name Style, Classifications ... b231 Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 2 Letter of signature authorization ................................... 6. 27._/� When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspectors<t Other Applicant Date 'Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior rmit is' u n e: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1: Owner's Name: kT. D C 2. Installer's Name: o v ` �O'div 3. Is the site currently under permit? Yes No (If yes, furnish permit number 55 OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) Go 4. Will the mobilehome be -located at least 5 ft. away from septi tank and leach fields and clear of all setbacks and easements? Yes No 1-1 (If no, clarify niem. 9*1� E 5. What is the mobilehome electrical rating? --------------- 0Amps' X11 6. What is the mobilehome site service rating? ------------- lo D Ampsf 7. What is the mobilehome site circuit breaker rating? ----- Amps' 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes M No (If yes, identify the load and size: (Load) + (Amps) 9. What is the mobilehome site gas pipe size? -------------- 10. What is the type of gas service? ------------------- Natural n LPG 11. What is the gas pipe length from meter or .tank to the l ----------------------------------------- 2 mobilehome? ---- (ft.) * 12. What is the mobilehome gas demand? ---------------------- N (BTU) .*(This information not required if pipe length less than �m natural gas or less than 50 ft. on LPG.) P,I" MOBILEHOME SUPPORT DATA / -If other than -single wide, k/Mobilehome Mfr.wb ( kAjotAvm furnish Setup Model No.. Year Width�(ft.) Box Length (ft.) Tagalong or Expando Sizeft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural set sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. a 2. Other (specify) ,SUPPORTS (check one)1. a Concrete block. 2. Other (specify) LLLLLL__��____JJ1lll Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams Line 3 _.— — — — — — — — — — Line 2 Main Beams �Line 14 Tag or Triple Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ k „ Size -Min. ------------------ Spacing -Max. -•------- Each Side of Openings From Ends -Max. ------- With Width Over --------- Line__ Line 2 Piers: Size -Min .------------ „x D„ Spacing -Max•--------- From Ends -Max .------- Line 3 Roof Loads: Size -Min .------------ Location (From Front) " Line 4 Piers: Size -Min .------------ ,k Spacing -Max.--------- From Ends -Max .------- , Line 5 Roof Loads: Size -Min. ------------ Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------------ k Spacing -Max.--------------- From Ends -Max .------------- �- „x a ,k '. n nx n ux „ lox a „x n Line 5 Piers: Under Bearing Walls only) Size -Min .------------------ „x u Spacing -Max.--------------- ,_ o From Ends -Max .------------- ,_ o Location (From Front) BUTTE COUNTY SCHOOL& 06TELOPMENT FEE CERTIFICATION FORM (One.Form per Building) A.P. Number 7 "?- �/ - y'j Building Department No. School District City F --J County []�rJurisdiction Property Owner %)97'_ Project Location/Address Subdivision Lot Number Residential Development: Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department/Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No.,-�� School District certifies that 99v Naxek, (Applicant Name) �J (Phone Number) (Street Address) ) 4ao 04 ' (City) (State) (Zip Code) has complied with the requirements of Resolution No. 01:�_4 47-/ a- dd by the payment of $ % representing 15Dd square feet. g✓-�1� �J Q2-✓.��I�GQ/ � .3 /��ci /1 School Dis�� dt Representative I 'Date PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OU BUTTt"-'D®partment of Public Works 7 County Center Drive, Orovil.le, 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. 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)V 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 . .1 Phone Type of Work Signed: '`—"Property Owner r Social Security umber — - Date -:;�>Ae 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. im COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 72-310-43 ZONING A5 BUILDING PERMIT OWNER A AOH Church of God (415) TELEPHONE 853-9715 SQ. FT. OCC. BUILDING VALUATION 240 ieck 1200 OWNER'SOlive MAILI 605 Hamilton Ave,f Menlo Park 94025 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 20.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 86 Starziak Lane Forbestown Permit fee $ 45.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex Mobilehome❑ Other �/ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK tilities❑ Installation[] Other ❑ NewV Addition ❑ Remodel ❑ n Utilities[:] Describe work: xhel-) i _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service R LESS 00 AMP OR 100 P OR 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is In full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole Compen- Xsation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.(> New A UL�T�-ODUTLET � , 2/z2sgft CONSTR.( NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20@30C BAL@30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 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. to the W. C. laws of California. NotAI shall not employ any person in any manner so as to become subject etApplicant: 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 10.00 ,Heating Cooling g 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. 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 agains 1 Cou Win sequenc of the granting of this permit. %� Date �o Signature of Applicant - Owner 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ AL E 45.50 HAz CUA — PARK �-' PAR PHD ISSUE Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC 1Br PER T EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS G� o Date _% /� I 7--^�� Receipt No. 5Rh'lR WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT �v. .,..,_.. r„s..�/11.�"F:� r..t,'.yrvsT,1-^-,t�j,"kA.I+S`N4+l.Yy'rj.'�'p'�y?i"1i^-.--��.-..._.. � C �•i'Y�'�:�`i"�i�s.�-'� .�. � R .r �r COUNTY OF BUTTE - DEPARTMENTSOF-PUBLIC WORKS - BUILDING DIVISION i7 COUNTY CENTER DRIV;; OROVIL*!_E!CILIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ( Permit No -5-3- < '- 99�? OWNER %j� /1i// x, (°��/il° A. P. No. +�T�� f o -e .. - 4 i' � 9' � er Proposed Building UseIh /Vt`-Buildin� InsNector gate At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 All items have bee,s,u.,4mitted..................................... Plot plans in dupliicateArripllica e, signed by preparer of plans..... 3. Complete plans inCcate/d-plans dupl'itriplicate, signed by preparer of plans 4. Complete engineeand calcs, with wet signature on plans .. ' 5. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. Ration approval from. r�`� Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning, approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) -21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner 0, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization 26. p/rn / ,_k�n/ 27. When you issue the permit, process as follows: Mail to owner. Mail to contract,o`r. Telephone and hold for pickup at office. —Deliver ,w/,inspector. r Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: le new,item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l_couunester by date Plans checked by Date Plans approved by O;b-- Date Sets of plans on hold in . File cabinet AP folder Copy—DPW d el4e- e -le s ;1b 7 4 I j' 11 71 114 PERMIT NO. S PERMIT EXPIRES - OWNER MT OLIVE A.O.H. CHURCH CONTR. owner ASSESSOR PARCEL 72-31-43 LOCATION @ end Starziak,Ln on S/S Forbestown 7 *eo Ytx OFFICE COPY. Address' I' Temp. Power Pole eL- L Called PG&E, By Date ELECTRIC ..Temp. Elec. Servic Meter By d0n Pate 14 L Called PG&E Temp. Gas Service Called PG&E I - JOB FINAL Signaft J = OK 0 = Not OK - = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams- Rftrs.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7• Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enc losures- Pane lboards- Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Gard -BI Date Card -BI Date V = OK , 0 = Not OK - = Not Applicable Not Ready RESIDENTIAL (Single and Duplex) � = Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Z ing requirements -Setbacks -Easements 48. Property Line Firewall & Openings tg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI (7_,nDat - Card -BI Date Date FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. 59. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except N's 68. 69. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic E) Yes Guard Rails &Deck Construction -Post Caps 25, 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks [I Yes El No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except k's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng_.-Rfn_g_._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT iNO.. __Y/ ASSESSOR PARCEL NUMBER 072-310-043 ZONING A5 V BUILDING PERMIT OWNER MT OLIVE A.O.H. CHURCH OF GOD TELEPHONE 853-9715 SO. FT. OCC. BUILDING VALVJATION EST 2000 OWNER'S MAILING ADDRESS 605 HAMILTON AVE., MENLO PARK, CA 94025 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee g $ 10.00 Permit Fee $ 32.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee Energy, ecg •• ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ I BUILDING 605 STARZIAK LANE FORBESTOWN Permit tee $` " PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP q7-11 0 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other •S119P/STORAGE BLDG SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other © Describe work: COMPLETION OF WORK STARTED UNDER #2550-88 Permit Fee $, Contractor ELECTRICAL PERMIT Filing Fee 10.00 1 OR Main service 100 AMP LESLESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 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. /1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCC UP.pI OR ADDN5. ACC. BLDGS. , / z¢sgft NEW CONST R. RANCH CIRCU NON.R ESID BRANCH CIRC T5 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCCu o p( UTLETS OR FIXTURES 30c. FIXED APPLNS. Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I decla under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 10.00 Heating Cooling g 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 'd ountV'n onquence of a granting of this permit. Date �p,1991 c('1 Signatureefa Appll O5,UL ix Wner onrracror ' gent ❑ 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 $ Energy Inspection Fee $ Occ CONST TYPE - TOTAL FEE $ 42.50 E HAz: cuA PARK SCHL FLD PAR l Ho. Iss This permit is hereby issued unser the applicable provi- sions of the Butte County -Code and/or resolutions to do work indi ed above for which f s, have been paid. IRE OF Puyl WORKS �j By Date PER T EXPIRES Date � Receipt No. I —7 �'a WNITC-D.P.W.. YELLOW -A$8[530 R,INK P-INOR. GOLDENROD -APPLICANT .. �, r - ' � -'a�„ {, r„X� •- esi7... v-.,� Fj`'•"'tif+✓"v'+.,... i. ;r.�r'l'r.T`f`"" ..�.,. eOUNTY OF BUTTE DEPARTMEI'tKOFPUBLIC WORKS - BUILDING DIVISO�N^ 7 COLINTY.CENTER DRIVE - OROVILLE, CALtWRNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPROkAY10N DATA SHEET + -� � Permit No. V OWNER A. P. No. 2— 3 % 0 6) Z/ Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit'processing and/or issuance: 1. ' DATE RECEIVED All items have been submitted. APPROVED 4( .......:.. 2.' Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans .. 4. Complete engineered plans and calcs, with'wet signature on plans .. 5. Hazardous Material Form ............... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8: Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ X11. Chico_ Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13� 14. School District fees paid .............. Sanitation approval from .� . 15. Health Department City of Chico plumbing permit ...................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: r* 18. Improvements may be required., Contact Land Development Section DPW ` 19. 'Driveway permit (construction approval"required prior to occupancy) 20. Pre -Inspection for required...Pre-lnspec. request to 21. Building Inspector Contractor's license information. (Nod, Name Style, Classification) ... (Date) 22. Certificate of Workmans,Gompensation.Insurance 23. .....q.;..... .. Owner -Builder Verification (Given to owner Mail•t owner ❑) ..... 24. -0, Recorded copy,gf Agricultural Acknowledgment Statement ' 25. ......... Letter of sighature authorization 27. When you issue the permit; process as follows:. Mail to owner. Mail to contractor: Telephone -and hold for -pickup at office. Deliver w/inspector. Other oo �Y Applicant (A,) A S / ► I/4 t k ea .Date Copy of Haz-Mat form sent Health Dept. Fire Dept.air P illution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must -be submitted prior to permit1issuance: (Circle,new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone-_—mail counter by .date i Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date 4' Plans checked by Date - Plans approved ie' Sets of plans on hold in File cabinet AP folder Copy—DPW 1.of COUNTY OF BUTTE - Department 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:; x1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) y2. I (have/have not) h.av,9- signed an application for a building permit for the proposed work. W 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: PU Property Owner �`ki G1�v2 PU1� CJU�u�cch C`sF GOd �� • ryY�^ Social Security Number Date 1991 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. H r • i i COUNTY OF BUTTE - DEP,ARTM, NT OF PUBLIC WORKS JFERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL N BR ZONIN _ BUILDING PERMIT O NER33 UL T LEPHONE .�`(� FT. OCC. BUILDING VALVA ION OWNER'S MAILING ADDRESS 606- Td_tv !� � r % 7D r� S CONTRACOR'SNAME TELEPHONE p ,% e -J CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER eLEND/V I0 /-,-* -e— LENDER'S ER'S MAILING ADDRESS ARCHITECT OR ENGINEER Nonl &-- , ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS 4eNCt 6f Sill r:?ia LOT NO. SUBDIV SION NAME USE OF SILRCTt SF ❑ Duplex❑ Mobilehome❑ Other UNKNO to w 4-/ PARCEL MAP °/ 7-/ D ra q, e .Ria, TYPE OF WORK New Er Addition❑ Remodel❑ Utilities ❑ Installation[] Other❑ Describe work: ofI Qe-4'J-, e. SeiV I Ge -r0 r e- a ,'— P I Q K e f2 PeE M 5 9-S 4- a(;o 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 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 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. 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. I also ree to saveM fy and keep harmless the County of Butte against all abi flies, judgsts, and expenses which may in any way accrue ag inst aid Co ty quence of the granting of this permit. X Date Sign tura of A lic "t — Owner ❑ Contractor ❑ Agent ❑ A OSHA permit is required for excavations over 5'0" deep demolition or construct• i of structures over 3 stories in height. kL Receipt No. WHITE-D.P.W.. YELLOW-ASSC330111. PINK -INSPECTOR. GOLD 0J CAN Fireplace Total Valuation $ j> Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S I G I W Permit Fee Contractor ELECTRICAL PERMIT Main service e00V OR LESS 100 AMP OR LESS Main service EA. ADO'L 100 AMP NEW CONST. DWELLING OCCUP OR ADONS. ACC.-BLOGS. $ 10.00 $ Sb Sa $ $ $ /3T % Filing Fee 10.00 2.00 v`2 0-0 20.00 5.00 5.00 5.00 5.00,5.0-0 1 0.00 ea $ Filing Fee 10.00 10.00 2.50 Sa '/2QSgft " C> 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eA 50 EX. Occup. OUTLETS P(RESI0.)R 1- A.) 2.00 Temporary service 10.00 a,e� Mobile Home Facilities 15.00 Misc. Wiring%f ,4 wn 15.00 14D 8 Permit Fee Contractor MECHANICAL PERMIT Heat i nq Cooling Hood Ventilation Permit Fee Contractor Mobile Home Installation Fee Energy Inspection Fee TOTAL PERMIT FEE DCCUP-1 C0N5T.LTJLC SCHOOL P Fi l ina Fee 1 10.00 3.00 This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which. fees have been paid. ell=ECPUBLIC WORKSByDat PERMIT EXPIRES Date --Z OWNER ',tit r.n •�� * '� /... iL i� 1... �t �. y 4 s i �� ,�+.�'t ,,. �,. , , �,et. • .. wj �- -,t. ,� t ,�R�. •�� .t.""�, r..w � ! ; �.t yl, t , ! . � ' �. � � ..,., v ,s- N' �Y ti COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION x .r - h' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Proposed Building U U.1C Permit No. 11 %Q 9 k) 1 I Vl L 4- /I Permit A. P. No. 72 — 3 1 /. IVQ&J S6% 15;¢006!�F-P^ Building Inspector ' Date I6 9 At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED I 11.. -All items.have been submitted. . . . . . . . . 7;4lot plans in duplicate. /triplicate, signed by preparer of plans. _ omplete plans in d.u.pticate./_triplicate, signed by preparer of plans. 4. Complete engineered, plans and calcs, with wet signature on 'plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non --Heated and AC Buildings. 8. Fees of $ , , , , , , , , 9.-4 Letter of signature authorization. �0. Sanitation approval from Z(DU/ �(%`e Health Dept.. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of -Workmen's Compensation Insurance. . . . — 13. Contractor's License Information (no.,,name style, classif.,)- ,. r VI- Owner -Builder Verification (Given to•owner❑, Mail to ownerEl) _15. Improvements may be+required.- 16:'Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to j 17. Pre -Inspection for Requiredc . Building Inspector (Date), 18. Recorded copy of AgricuIfural %c know ledgment Statement. ' 19. Driveway Permit. 20. Plot plan approval from city of ' 21. Engineered trusses'in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: ailowrke Mail to contractor. Telephone and hold for �pickup:at�ce, Deliver w/inspector. Other Applicant Copy of plans sent Health Depl.,� Fire Depte,�. - —Other Date The following data must be submitted rior,tormit issuance: (Circle new item not checked above). 1. Index permit for above items No. N. 2. Additional items requir6d: - 1 s Contractor, designer, owner, was advised of above required data by_phoneJnall—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter date Plans checked'by Date Plans approved by Date Sets of`pl'answon hold)in,�, f-- File cabinet AP folder --�lS;�SS 3o.oa Copy—DPW I . 6_0 COUNTY OF BUTTE - Department 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) -ES 2. I (have/have not)6)+Ve— 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: Property Owner Social Security umber Date -- /0 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. CADUNTJ,OF BUTTE DEPARTMENT F PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT 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,/-�qr need/,ddad'tional explanation, please contact this office immediately. c 2 /j o-e--O� Date < Inspector L. AN D O F N A T U P.A l \/\/ EA L.T H A 1\I D B EA U T Y DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 T I h 19161 534 4541 t e ep one. t RONALD D. McELROY Deputy Director 1 _4. September 12, 1985 Mount Olive Apostolic Original Holy Church of God RE: Building Permits 605' Hamilton Ave. AP #72-31-43 Menlo Park, CA 94025 Gentlemen: iI With reference to the above subject and your request for inspection of the stor- age building and pumphouse you constructed without permits and.inspections on your property at the end of Starziak Lane near Forbestown, the requested inspec- tion was made on September 11, 1985. The inspection revealed the following items which must be done or resolved: 1) Obtain permits and approvals.from Health Department of water supply and sewage disposal systems. 2) Two story portion of building (12'_x 12'): a) No provisions made to vent plumbing fixtures. b) Plastic water piping not permitted within the building. c) 2 x 6 floor joists overspanned. d) 2 x 4 rafters and joists overspanned, roof needs to be trussed. e) Provide a conforming stairway to the second floor. f) Provide 6" clearance from grade to wood and provide adequate g) drainage around the building. Building must be weathertite v 3) Remainder of building (16 x 24): ;�im*et �,�a) Provide a contiAus foundation around the 014 theluild- ing and remove the posts embedded in the concrete. The building plate must be properly anchored to the foundation. b) Provide a conventional wall framing system or a post and beam , system designed per code requirements. c) 2 x 6 rafters are overspanned. d) :Same as items f) and g) -above. e) Electrical and mechanical system (if any) must be installed per I code requirements. Due to the major reconstruction necessary to comply with minimum code require- ments, it is my recommendation that you demolish -the existing 16 x 24 build- ing and construct a new building. • age 2 Olive Apos. Orig. Holy Church of God September 12, 1985 If you decide to rehabilitate the existing building or construct a new building please submit two complete.sets of plans showing plot plan, floor plan and structural details to resolve the above items, apply for the required permits and pay the appropriate fees. - Please advise this office within thirty'days of your intentions concerning this matter. Please contact the Butte County Planning'Department and advise them of your plans concerning the picnic aeras, tent camping and -other future plans so they may advise you concerning the A-5 zoning requirements. Should you have any questions concerning this matter, please contact this office. Yours very truly, William Cheff Director of Public Works i Original signed by J. J.F. Glander JFG:am Chief Building Inspector cc: Health Department Assessor Planning Department Y i iFile No. rYords NTY (For Action .l, 2, 3) s Dept. (For Information �e ) Mt, - Shop ds Bldg. Insp. Admin. i Design Engr. i Bridge Engr. I Constr. Engr. f Surveys Mapping Trcnsp. Land Dev. I Y Drng. /S.I. Sub. & PCI. Maps i Permits Addr. - ff (�y,Y LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 RONALD D. McELROY Ya _Deputy Director August 27, 1985' Mount Olive Apost. Orig. Holy Church RE: Permits and Inspections 598 Hamilton Ave. AP #72-31-43 Menlo Park, CA 94025 Gentlemen: With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the two story dwelling you are constructing on your property located off the South/side of the end of Starziak Lane, Forbestown. Since permits and inspections are required by both State and County laws, please contact this office within ten days of the date of this letter, submit a plot plan and a floor plan, pay the '$,50.00 fee for a Special Inspection to determine if code requirements can be met. All work must stop until you obtain this Special Inspection and are authorized to proceed. Should you have any questions concerning this, please contact this office. Yours very truly, William Cheff Director of Public Works Vlig%a9 signed by. 0, F. G9ander J.F. Glander JFG:am Chief Building Inspector cc: Building Inspector- Oroville Assessor s%;Splaint-Date _ ❑ Other -Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT owner: /19 tou PiT U /; v e A joeL5T. Ae i Address • �"�� `�p✓1 Tenant: hi W 1.1 Building Location6zs Po'C/ p ZONING A —�S/ A.P. # %,2— i Date of Inspection—� Inspector /I ` C Type of Inspection requested: 1. Housing / / 2. Financing / / 3. Change of Occupancy to 4. Work W/O Permit / / 5. Other (specify) Present use of building: A. Sanitation (Housin 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9.Bedroom window or door,for second exit: 10. Infestation of insects, vermin, or rodents: 11: Connection to'sewage disposal:' 12. - Connection' to water, supply: 13.' Rubbish and garbage facilities: 14. Stairs :(Rise, Run, headroom, lHR,. Tolerance$, Handra 15: Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: _ 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1� 1. Probl m or violation (give complete description ` w e d ►� u74�o u�i V i r 2. What action taken (gige complete desc 'ption): ,o h 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. ZjZC. Write letter. / /.D. Other: M Eutte, ®un y LAND OF NA TUP.AL WEALTH AND BEAUTY ✓a.4Y+ �c DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 RONALD D. McELROY Deputy Director September 12, 1985 Mount Olive Apostolic Original Holy Church of God RE: Building Permits 605 Hamilton -Ave. AP 472-31-43 Menlo Park, CA 94025 Gentlemen: With reference to the above subject and your request for inspection of the stor- age building and pumphouse you constructed without permits andinspections on your property at the end of Starziak Lane near Forbestown, the requested -inspec- tion was made on September 11, 1985. The inspection revealed the following items which must be done or resolved: 1) Obtain permits and approvals from Health Department of water supply and sewage disposal systems.. 2) Two story portion of building (12' x 12'): a) No provisions made to vent plumbing fixtures. b) Plastic water piping not permitted within the building. c) 2 x 6 floor joists overspanned. d) 2 x 4 rafters and joists overspanned, roof needs to be trussed. •e) Provide a conforming stairway to the second floor. f) Provide 6" clearance from grade to wood and provide adequate drainage around the building. g) Building must be weathertite:✓ 3) Remainder of building (16 x 24): a) Provide a contiAus foundation around the perimeter of the build- ing and remove the posts embedded in the concrete. The building plate must be properly anchored to the foundation. b) Provide a conventional wall framing system or a post and beam system designed per code requirements. c) 2 x 6 rafters are overspanned. d) :Same as items f) and g) above. e) Electrical and mechanical system (if any) must be installed per code requirements. Due to the major reconstruction necessary to comply with minimum code require- ments, it is my recommeridation that you demolish the existing 16 x 24 build- ing and construct:a new building. I Page 2 Olive Apos. Orig, Holy Church of God September 12, 1985 If you decide to rehabilitate the existing building or construct a new building please submit two complete sets of plans showing plot plan, floor plan and structural details to resolve the above items, apply for the required permits and pay the appropriate fees. Please advise this office within thirty days of your intentions concerning this matter. Please contact the Butte County Planning Department and advise them of your plans concerning.the picnic areas, tent camping and other future plans so they may advise you concerning the A-5 zoning requirements. Should you have any questions concerning this matter, please contact this office. JFG:am cc: Health Department Assessor Planning Department Ar Yours very truly, William Cheff Director of Public Works Original signed by J. 'F. Gtander J.F. Glander Chief Building Inspector Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Trans Land Dev. Drng. —is—. I—. Sub. & Pcl. Maps Permits Addr. Ums' .wi� LAND OF NATUP,AL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 959651 Telephone: (916) 534-4541 RONALD D. McELROY Deputy Director 7 CERTIFIED MAIL October 171, 1985 Mount Olive Apostolic Orginal Holy Church RE: Permits and Inspections 605 Hamilton Ave. AP #72-31-43 Menlo Park, CA 94025 Gentlemen: With reference to the above subject, on September 12, 1985, a letter (copy enclosed) was sent to you itemizing what was required as revealed by a ' Special Inspection made September 11, 1985. In this letter we asked that you advise this office within thirty days of your intentions concerning this letter. Since this structure was constructed without permits and inspections, and since permits and inspections are required by both State and County laws, un- less you have either obtained a demolition permit to demolish the structure or contacted this office within ten -''days of they date of this letter, sub- mitted two complete sets of plans, applied for the required permits and paid the appropriate fees, the matter will be referred to the proper author- ities for appropriate action, t Should you have any questions concerning this matter, please contact this office. Yours very truly, William Cheff Director Of Public Works Original signed b� A F. Glander J.F. Glander $ } JFG:am Chief Building Inspector k cc: Building Inspector - Oroville Health Department t enc: copy letter Sept. 12, 1985 ? t 1 l 1 File No. BUTTE COUNTY j(For Action 1, 2, 3) Public Works Dept. formation if: Director Dep. Dir. Sec. Rd. & Br. Mtce. Sh c� Bldg. Insp. Admin. V Kr.1 ` w Ii 'a"�, LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA m& r, Telephone: (916) 534-4541 RONALD'D. McELROY Deputy Director December 2, 1985 Mount Olive Apost. Holy Church RE: Building Permits P.O. Box 2302 AP ;✓72-31-43 Menlo Park, CA' 94025 ATT: Elder H.L. Bostic Dear Mr. Bostic: With reference to the above subject and the building you constructed on your property on Startiak Lane near Forbestown, the plans submitted on October 25, 1985, do not indicate how you propose to resolve the items listed in my September 12, 1985,letter. Please submit two complete sets of plans incorporating these items, together with a certificate of workmans compensation insurance, so we may complete the plan checking. Should you have any questions concerning this matter, please contact this office. Yours very truly, William Cheff Director of Public Works O'r'iginal signed by J. F. Glander J.F. Glander Chief Building Inspector JFG:am /' P6C- bv*vC— MOORE c4U&D 1,2E�l�RIJiN� TNiS . t ErTER . 9 ' ffa tr .r LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 RONALD D. McELROY February 10, 1986 Deputy Director Mount Olive Apostolic Holy Church RE: Building Permits P.O. Box 2302 A.P. #72-31-43 Menlo Park, CA 94025 Attn: DeWayne Moore Gentlemen: With reference to the above subject, on 'January 6, 1986, you. wrote a letter stating your intentions regarding the items needed to resolve those. noted in our letter dated September 12, 1985, You also stated that drawings would follow; to date we have not received the drawings. Since this structure was constructed without permits and inspections, please submit the required drawings within ten days of the date of this letter so that the permit may be processed and issued.. Should you have any questions concerning this matter, please contact this office. Yours very truly, William Cheff Director of Public Works Original signed by J. F. Glander J.F. Glander JFG:ahb Chief Building Inspector cc: Building Inspector - Oroville File No. mom" _p� y BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information t/ ) Director Dep. Dir. Sec. [Rd. & Br. Mtce.Shop & Yardsdg. Insp. Admin. Desi3n Engr. I Bridge Engr. Constr. Engr. { Surveys Mapping Transp. Land Jev. 1 Drng. /S.I. Sub.& Pcl.Maps Permits r Addr. 'rj .. P ." I bJuly 24, 1986 Mount Olive Apostolic Holy Church RE: Building Permits P.O. Box 2302 A.P. #72-31-43 Menlo Park, CA 94025 Attn: DeWayne Moore' Gentlemen:' With reference to the above subject, on January 6, 1986, you wrote a letter stating your intentions regarding the items' needed to resolve those noted in our letter dated September 12,, 1985, and also February 10, -1986. You also stated that drawings 'would follow, to date we have not received the drawings. Since this structure was constructed without permits and inspections, please submit the required drawingswithin. ten days of the date of this letter so that the permit may. be processed and issued, or the matter will be re- ferred to the proper authorities for apporpriate action. Should you have any questions concerning this matter, please contact this office. Yours very truly, William Cheff Director of Public Works Wiginal signed by J. F. Glande, J.F. Glander JFG:ahb Chief Building Inspector cc: Building Inspector Otoville w File No. BUTTE COUNTY Public Works Dept. (For Action 1, 2, 3, (For Information / ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. 1 Drng. /S.l. Sub. & Pc 1. Maps Permits Ad dr. August 11, 1986 J" Mt. Olive Apostolic Holy Church RE: Building Permit for. P.O. Box 2302 Shop and Storage Building Menlo Park, CA "94025_ A.P. #72-31-43 Attn: Brenda Matthews Gentlemen: With reference to the above subject and your letter dated August 6, 1986, the endorsement agreement you sent concerning your workmen's compensation insurance is not sufficient. We need a Certificate of Workmen's Compensation Insurance, which State Fund will furnish upon request, made out to Butte County. If an endorsement is needed for your normal policy it should cover the shop and storage building you are constructing which has no relationship to the endorsement you furnished. Should you have any questions concerning this matter, please contact this office. Yours very truly, William Cheff Director of Public Works Original signed by J. F. Giander J.F. Glander JFG:ahb Chief Building Inspector i iF le No. _ + Bj S I OUNTY fFs-� °f A=tion 1, 2, 3) Prks Dept. (For Information Di De Sec. JRd. & Br. Mtce. Shop & Yards i Bldg. InsD. Admin. i I Design Engr. Bridge Engr. Constr. Engr Surveys ` Mapping I Tronsp. 1 Land DeV. Drng. /S.I. Sub. $ pcl. Maps Permits k Addr. February 9, 1990 Mt. Olive A.Q.H. Church of God 605 Hamilton Avenue Menlo Park, CA 94023 Attn: Elder H.L. Bostic: I am sending three (3) blank permit applications. You neglected to check the appropriate boxes on your applications. Please sign the permit applications and check the appropriate boxes and then we will transfer the information from the original to these: , If you check the second boy: in the first section and the third box in the second section*, you will reed to fill, out these three (3) owner - builder ferns. (1 per permit) I am also sending you a. school district form i4iich you need to deal crith. Contact the 0.roville Elementary School District to pay your fees. I am sending you two (2) copies of -Mobile home Installation data sheets which need to be filled our front and back. Also included is a Recorded Agricultural Acknowledgement Statement. It needs to be filled out, notarized and recorded. We need a letter of intent stating the use of this mobilehome and you need to get Building Permit #2.550-88 finaled. I also need two (2) more copies of your plot and deck plans for the deck permit. The permit application data sheets are provided as a checklist of all the items we need before we are able to issue these permits. Yours very truly, William Cheff Director of Public ,Works LS: d; Linda Sexton Plan Checker I Attachments COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 MT. OLIVE AOH CHURCH 605 HAMILTON AVE, F MENLO PARK CA 94025 With reference to the above subject Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form OTHER DATE JULY 22, 1991 RE: PERMIT #353-90, 354-90 & 355-90 (MH UTIL, MH INSTALLATION & DECK) A.P. # 72-31-43 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans,and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. oTHERTHE PERMITS FOR MOBILEHOME TO You JULY 9, 1990. AT THE T 11NbybUTiUN '1'U VERIFY COMPLIANCE WITH PLANS IHEY 9, 1991. YOU HAVE AND CODE AND TO UNTIL AUGUST 9, DATE 1991 THIS HAS NOT-11FFN DONE- TO CALL FOR INSPECTION -06VL William Cheff Should you have any questions,concerning the above, please contact ROD TAYLOR of this office. (9116(538-7541) Yours very truly, -06VL William Cheff Director of Public [dorks 50` J.F. Glander JFG/aj Chief Building Inspector I C File No. BUTTE COUNTY TFo(.Actij.n 1 2 3) Public Works Dept. (For Information o/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Y Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & Pc]. Maps Permits Addr. MA- August 30, 1991 Mt. Olive Apostolic Original Holy Church of God Inc. 598 Hamilton Avenue, F Menlo Park, CA 94025 RE: Building Code/Violations A.P. #72-31-43 86 Starziak Lane, Forbestown Dear Sir: We sent you a warning letter dated January 12, 1990 notifying your that you are in violation of the Butte County Code at the above referenced loca- tion. As of this date, the following violations still exist. (1) Installed mobilehome in violation of the Mobilehome Parks Act of Title 25, California Code of Regulations, adopted by Section 28A-1 of the Butte County Code as follows: (a) Permit Required for Mobilehome Installation (b) Inspections including Final Inspection Required for Mobilehome Installation (2) Deck installed in violation of the Mobilehome Parks Act of Title 25, California Code of Regulations, adopted by Section 28A-1 of the Butte County Code as follows: (a) Permits Required for Mobilehome accessory Structure (b) Inspections including Final Inspection Required for any Mobilehome Accessory Structure (3) Constructed shop/storage in'violation of the 1988 Uniform Building Code adopted by Sectio 26-1 of the Butte County Code as follows: (a) Section 301(a) Permits Required (b) Section 305(a) Inspections Required (c)'Inspection Approval Required before Use or Occupancy Section 305(d) Letter to Mt. Olive Apostolic Original Holy Church of God, Inc. RE:' Building Code Violations (A.P. #72-31-43) Page 2 August 30, 1991 The above violations shall be corrected or abated by you applying for a permit to. complete the work and paying the appropriate fees within thirty (30) days of the date of this letter. After permit issuance and field authorization 'to proceed, the corrections' must be completed and approved by this office within the permit specified time. Unless the violation(s) is (are) so corrected or abated, a citation shall be issued to you to appear in court' for said violations) and for failing to comply with this notice. Upon conviction of said violation(s) or for failing to comply with this notice, penalties shall be imposed and a Notice of Violation recorded in accordance with Section 41-7 of the Butte County Code. Should you have any questions concerning this matter, please contact Rod Taylor or Jim Glander of this office at (916)538-7541. Yours very truly, William Cheff Director of Public Works t�rc�tvva�? �'y�asL' JFG:dms J.F. Glander Manager, Building Inspection cc: Building Inspector 1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 PROOF OF SERVICE BY MAIL I am over the age of 18 and not a party to this cause. I am a resident of and employed in the county where the mailing occurred. My business address is Butte County Department of Public Works 47 County Center Drive California. Oroville, CA 95965 I served the'foregoing 30—DAY Violation Letter by enclosing a true copy in a sealed envelope and depositing said envelope in the United States mail with postage fully prepaid on 30th. of August 19 91 and addressed as follows: Mt. Olive Apostolic Original Holy Church of God, Inc. 598 Hamilton Avenue, F Menlo Park, cA 94025 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 8/30/91 at Oroville , California. I file No. VSec. Y IFo Action 1, 2, 3) ept. (For Information ✓ ) I fRd.;8,.,Br.M $ Yards Bldg. Insp. Admin. i Design Engr. Bridge Engr. i Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub.'& Pcl.Maps Permits 1 �" Addr. I R w9D`r�'r Mt. Olive Apostolic Original Holy Church 598 Hamilton Avenue Menlo Park, CA 94025 RE: Permit Requirements 86 Starziak Lane; Forbestown Gentlemen: January 12, 1990 A.P., #: , 72-31-43 V This is a warning letter to notify you that you are-in..yiolation of the Butte County Code at the above referenced location as -,'follows: Installed mobile home and construtted open deck withadt the required permits.and'inspections. _ Failure to obtain inspections and final approval on the shop building prior to expiration of permit #2550-88. Since permits and inspections are required for the above work, please -contact this office within ten days of the date of this letter�j submit two complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these perinit6 are issued, and you are authorized by our field inspector to proceed. -This field authorization cannot be made until the existing work is inspected ai:d approved. Please be aware that Butte County has ,entered into a'Co'de 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 Jim Glander or Bob Keith of this office. JFG:ds cc: Assessor Building Inspector Yours very truly, William Cheff Director of Public Works C?ricinal uegm.A tt I E. 64WAiO J.F. Glander Chief Building Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 ;• 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE MIT 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. Inspector Date_ y ' i — — —MT. -OLIVE — — -. APOSTOLIC ORIGINAL HOLY CHURCH OF GOD 605 Hamilton Avenue, Menlo Park, CA 94025 P.O. Box 2302 Tel. (415) 853-9715., Elder H.L. Bostic (Pastor) Opha Wray (Church Secretary) Radio Broadcast KFAX - San Francisco WGOK - Mobile Alabama October 21, 1985 Mr. Jim Glander Chief, Building Inspector Butte County Department of Public Works 7 County Center Drive Oroville, CA 95965 Re: Building Permits AP #72-31-43 Dear Mr. Glander: This letter is to confirm that we intend to rehabilitate the existing building on the property at the end of Starziak Lane near Forbestown. DeWayne Moore communicated this information to Mr. Chuck Patti on last month. According to your letter of Sept. 12, we understand that in order to -rehabilitate the existing building, we must submit two complete sets of plans showing plot plan, floor plan and structural details to resolve the items noted in your inspection. We intend to provide the plans on Friday, October 25, at which time representatives from our church will be in your office. Sincerely, MT. OLIVE A.O.H. CHURCH OF GOD Elder H.L. Bostic, Pastor File No PCV- BUTTE COUNTY °�'' '(For Action], 2, 3) Public Works Dept. (For Information Vf Director t Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards I Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. �( Surveys I Mopping • rf Trans . P � Land Dev, Drng. /S.I. Sub. & Pcl. Maps Permits t Addr. .. t g MT. OLIVE APOSTOLIC ORIGINAL HOLY CHURCH OF GOD 605 Hamilton Avenue, Menlo Park, CA 94025 P.O. Box 2302 Tel. (415) 853.9715 Elder H.L. Bostic (Pastor) Opha Wray (Church Secretary) Radio Broadcast KFAX - San Francisco WGOK - Mobile Alabama August 6, 1986 BUTTE COUNTY DEPT OF PUBLIC WORKS 7 County Center Drive Oroville, CA 95965 Attn: Mike Vieira 7 - i Re: Mt. Olive Church Property at Starziak Lane near Forbestown Dear Mr. Vieira: This letter transmits a copy of our annual rating endorsement and our endorsement agreement from the State Compensation Insurance Fund. We trust these to be in complete compliance with the building permit regulations. Thank you for your cooperation throughout this process. Sincerely, NIT. OLIVE A.O.H. CHURCH OF GOD �"L(CL M j -"D Brenda Matthews DeWayne Moore, Project Coordinator Elder H.L. Bostic, Pastor STATE COMPENSATION INSURANCE FUND HOME OFFICE SAN FRANCISCO ALL EFFECTIVE DATES ARE AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME ENDORSEMENT AGREEMENT EFFECTIVE JULY 22, 1986 AT 12.01 A.M. MT. OLIVE A. 0 H. CHURCH OF GOD 605 HAMILTON AVENUE MENLO PARK, CA 94025 REP 701650-86 RENEWAL NA_ ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING, IT IS AGREED THAT THE WORDING FOR THE FOLLOWING CLASSIFICATION APPEARING IN THIS POLICY IS CHANGED TO READ - CLASS DESCRIPTION OF WORK 5645 CARPENTRY --CONSTRUCTION OR REMODELING OF DETACHED PRIVATE RESIDENCES FOR OCCUPANCY BY ONE OR TWO FAMILIES AND THE CONSTRUCTION OF PRIVATE GARAGES IN CONNECTION WITH SUCH STRUCTURES -INCLUD- ING INSTALLATION OF INTERIOR TRIM, BUILDERS FINISH AND CABINET WORK -- EMPLOYEES WHOSE REGULAR HOURLY WAGE DOES NOT EQUAL OR EXCEED $17.00 PER HOUR. NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: JUNE 03, 1986 AUTHORIZED REPRESENTATIVE PRESIDENT 9904 STATE COMPENSATION INSURANCE FUND HOME OFFICE SAN FRANCISCO ALL EFFECTIVE DATES ARE AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME ENDORSEMENT AGREEMENT EFFECTIVE JULY 22, 1986 AT 12.01 A.M. MT. OLIVE A. O H. CHURCH OF GOD 605 HAMILTON AVENUE MENLO PARK, CA 94025 REP 701650-86 RENEWAL NA ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING, IT IS AGREED THAT THE FOLLOWING CLASSIFICATION(S) IS(ARE) HEREBY ADDED TO AND MADE A PART:OF THIS POLICY - RATES) EFFECTIVE UP TO 7/2.2/87 CLASS DESCRIPTION OF WORK RATE 5697 CARPENTRY --CONSTRUCTION OR REMODELING 12.65 OF DETACHED PRIVATE RESIDENCES FOR OCCUPANCY BY ONE OR TWO FAMILIES AND THE CONSTRUCTION OF PRIVATE GARAGES IN CONNECTION WITH SUCH STRUCTURES -- INCLUDING INSTALLATION OF INTERIOR TRIM, BUILDERS FINISH AND CABINET WORK --EMPLOYEES WHOSE REGULAR HOURLY WAGE EQUALS OR EXCEEDS $17.00 PER HOUR. THE USE OF THIS CLASSIFICATION IS SUB- JECT TO VERIFICATION AT THE TIME OF FINAL AUDIT THAT THE EMPLOYEE'S REGULAR HOURLY WAGE EQUALS OR EXCEEDS $17.00 PER HOUR. THE PAYROLL OF AN EMPLOYEE WHOSE REGULAR HOURLY WAGE IS NOT SHOWN TO EQUAL OR EXCEED $17.00 PER HOUR SHALL BE ASSIGNED TO CODE 5645(A). NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED .AND ISSUED AT SAN FRANCISCO: JUNE 03, 1986 9923 AUTHORIZED REPRESENTATIVE PRESIDENT 1r. STATE HOME OFFICE SAN FRANCISCO ANNUAL RATING ENDORSEMENT COMPENSATION INSURANCE IT IS AGREED THAT THE CLASSIFICATIONS AND RATES PER $100 OF REMUNERATION APPEARING FUND IN THE CONTINUOUS POLICY ISSUED TO THIS EMPLOYER ARE AMENDED AS SHOWN BELOW. HERE ARE YOUR NEW RATES FOR THE PERIOD INDICATED. IF YOUR NAME OR ADDRESS SHOULD BE CORRECTED OR \IF INSURANCE IS NOT NEEDED FOR NEXT YEAR, PLEASE TELL US. IMPORTANT THIS IS NOT A BILL CONTINUOUS POLICY 701650-86 SEND NO MONEY UNLESS STATEMENT IS ENCLOSED THE RATING PERIOD BEGINS AND ENDS AT 12: IAM RATING PERIOD 7-22-86 TO 7-22-87 PACIFIC STANDARD TIME MT. OLIVE A. 0 H. CHURCH OF GOD DEPOSIT •PREMIUM $685.00 605 HAMILTON AVENUE MINIMUM PREMIUM $310.00 MENLO PARK, CALIF 94025 PREMIUM ADJUSTMENT PERIOD QUARTERLY R 'NA NAME OF EMPLOYER- MT. OLIVE APOSTOLIC ORIGINAL HOLY CHURCH OF GOD, INC. A NON-PROFIT CORPORATION CODE NO. PRINCIPAL WORK AND RATES EFFECTIVE TO 07-22-87 5645 CARPENTRY --CONSTRUCTION OR REMODELING 14.65 OF DETACHED PRIVATE RESIDENCES TOTAL ESTIMATED ANNUAL PREMIUM COUNTERSIGNED AND ISSUED AT SAN FRANCISCO --.- - . lnvGa DI FACFI $2,278 JUNE 3, 1986 POLICY FORM K 1L MT. OLIVE APOSTOLIC ORIGINAL HOLY CHURCH OF GOD 605 Hamilton Avenue, Menlo Park, CA 94025 P.O. Box 2302 Tel. (415) 853-9715 Elder H.L. Bostic (Pastor) Opha Wray (Church Secretary) Radio Broadcast KFAX - San Francisco WGOK - Mobile Alabama September 5, 1986 J.F. Glander Chief Building Inspector BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Orodille, CA 95965 Re: Building Permit for Shop and Storage Building A.P. # 72-31-43 Dear Mr. Glander: In response to your letter of August 11, 1986, we are transmitting a Certificate of Workmen's.Compensatioh Insurance made out to Butte County. We trust this to be in adequate compliance with your building permit regulations. Thank you very much and we apologize for the delay caused by the transmittal of the Endorsement agreement on August 6. Sincerely, MT. OLIVE A.O.H. CHURCH OF GOD Brenda Matthews Elder H.L. Bostic, Pastor. Enclosure 1986, `8 On d`� Y I o��oo� 30 MT. OLIVE APOSTOLIC ORIGINAL HOLY CHURCH OF GOD 605 Hamilton Avenue, Menlo Park, CA 94025 P.O. Box 2302 Tel. (415) 853-9715 Elder H.L. Bostic (Pastor) Opha Wray (Church Secretary) Radio Broadcast KFAX - San Francisco WGOK - Mobile Alabama January.6,,1986 Butte County Department of Public Works 7 County Center Drive Oroville, CA 95965 Attn: Mike Vieira Re: Mt. Olive Church Property at Starziak Lane near Forbestown Road Dear Mr. Vieira: REGISTERED MAIL RETURN RECEIPT REQUESTED Pursuant to our conversation on December 19, 1985 I.wish to confirm in writing our intentions to resolve the items noted in your letter of September 12, 1985. Actions taken or pending with regard to the items noted in the above -referenced letter are as follows: (1) Permits and approvals from the Health Department were obtained on October- 27, 1985. (2) Two story portion of building (12,X 12) a. Plumbing fixtures for washroom and sink will be vented. All other fixtures will be capped. b. Plastic water piping to be replaced with copper piping. c. Walls -to be installed underneath floor joists to act as supports. d. Roof to be trussed according the the.Unif6rm Building Code (UBC) e. Stairway to be constructed f. Clearance and drainage to be provided g. Building to be made weathertite through installation of caulking around windows and sheet.rock in between. (3) Remainder of building (16 X 24) a. We intend to dig underneath the existing foundation,- set in place cinder blocks, gruut_the'cinder blocks and set 12" X 10" anchor bolts into the cement. b. We intend to cut out the plate and run 2 - 2X4's on both sides using HH4 Simpsons header hangers. c. Please advise us as to the required roof slope. Action will be taken pending receipt of this information. Mr. Mike Vieira. January 6, 1986 Page Two 2. d. Clearance and drainage t6 be provided Building to .be made.weathertite through installation of caulking around windows and sheetrock in between. e. Mechanical - water pump to be intalled with copper piping per UBC . Electrical - wiring per UBC We trust -that the narrative explanation given above adequately conveys our intentions. Drawings for further elucidation, however,.are forthcoming. We appreciate your assistance in the resolution of this matter. Sincerely, MT. 0 A.O.H. CHURCH OF GOD DeWayne Moore, Elder H.L. Bostic, Pastor bm gg6� g ti ��f S'l30 ' $° '�no� File No. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information ke ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Ldnd Cev. Drng. /S.I. Sub. & Pc 1. Maps Permits Addr. r MT. OLIVE APOSTOLIC ORIGINAL HOLY CHURCH OF GOD 605 Hamilton Avenue, Menlo Park, CA 94025 P.O. Box 2302 Tel. (415) 853-9715 Elder H.L. Bostic (Pastor) Opha Wray (Church Secretary) Radio Broadcast KFAX - San Francisco WGOK - Mobile Alabama November 4, 1985 Mr. J. F. Glander. Chief Building Inspector County of Butte 7 County Center Drive Oroville, CA 95965 Re: Mt. Olive A.O.H. Church of God Property at Starziak Lane near Forbestown Dear Mr. Glander: This letter will confirm my phone conversation with Ms. Donna Burling of the Planning Department on Nov. 4, 1985 at which time Ms. Burling agreed at my request to nullify the forthcoming Workers Compensation Insurance policy transmitted to your office on October 31, 1985. The policy was sent in error and it is not to affect.the.s.tatus of permit applications we currently have.: -on file.. Ms. Burling. has agreed to return the policy �.to:-.us -.upon. receipt. Thank you for your prompt attention to this matter. Sincerely, MT. OLIVE A.O.H. CHURCH OF GOD �.tt ._�-•_ Brenda Matthews Matthews Elder H.L. Bostic, Pastor bm 14; File No. BUTTE COUNTY st (For Action`1, 2, 3) Public Works Dept. (For Informbtion- o/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Ding. /S.I. Sub.B Pc I. Maps Permits Addr. MT. OLIVE APOSTOLIC ORIGINAL HOLY CHURCH OF GOD 605 Hamilton Avenue, Menlo Park, CA 94025 P.O. Box 2302 Tel. (415) 853-9715 Elder H.L. Bostic (Pastor) Opha Wray (Church Secretary) Radio Broadcast KFAX - San Francisco WGOK - Mobile Alabama October 31, 1985 Mr. J.P. Glander Chief Building Inspector COUNTY OF BUTTE 7 County.Center Drive Oroville, CA 95968 Re: Mt. Olive A.O.H. Church of God Property on Starziak, near Forbestown Dear Mr. Glander: This letter transmits a copy of our State Compensation Insurance Fund policy declaration. We understand that proof of coverage is required for the issuance of the permits for which we have applied. Thank you for your attention to this matter. Sincerely, MT. OLIVE A.O,.'H. CHURCH OF GOD t rnkI14 Brenda Matthews Elder H.L. Bostic, Pastor Enclosure il 1 0 r r MT. OLIVE APOSTOLIC ORIGINAL HOLY CHURCH OF GOD 605 Hamilton Avenue, Menlo Park, CA 94025 P.O. Box 2444 Tel. (415) 853-9715 Elder H.L. Bostic (Pastor) Opha Wray (Church Secretary) Radio Broadcast KFAX - San Francisco WGOK - Mobile Alabama. September 10, 1991 Mr. Jim Glander Butte County Department of Public Works 7 County Center Drive Oroville, California 95965 Re: Building Code Violations 86 Starziak Lane, Forbestown AP#72-31= 3 Dear Mr. Glander: This letter shall confirm our conversation on September 10, 1991 in which it was agreed that we would resolve the referenced violations by performing the following steps: 1. Complete construction on storage/shed by covering up electrical t, wires with sheet -rock strips according to Bart Leauge (Building Inspector). Get final inspection and complete paperwork to get permit signed off. 2. Stop construction on mobile home/deck installation. - Deck will be taken down and built according to drawings and U.B.C. code. Item #2 will also be addressed by obtaining permits and getting final inspection according to the Butte County Building Department. Thank you for your continuing cooperation. Sincerely, MT. OL A.0 CHURCH OF GOD Ak DeWayn Moore, Draftsman/Coordinator DM/bmm Ii MT. OLIVE APOSTOLIC ORIGINAL HOLY CHURCH OF GOD 605 Hamilton Avenue, Menlo Park, CA 94025 P.O. Box 2444 Tel. (415) 853-9715 Elder H.L. Bostic (Pastor) Opha Wray (Church Secretary) Radio Broadcast KFAX - San Francisco WGOK - Mobile Alabama February 17,1990 Mr. William Cheff County of Butte Department of Public Works 7 County Center Drive Oroville, CA 95965 Re: Mobile Home at 86 Starziak Lane Dear Mr. Cheff: In response to your request for a letter of intent in your correspondence of February 9, please be advised the subject mobile home shall be used primarily for storage purposes. Possible, but infrequent, other uses include temporary shelter and use of the contained bathroom facilities. As you may be aware, our church is approximately 200 miles from our Oroville property and our planned visits are very seldom. Our objective for the property is to provide somewhat of a "wilderness retreat" for our church members, most of whom are young people who are completely unfamiliar with a rural environment. During our visits to the property, therefore, we generally camp outside in tents. Much of our camping equipment is stored either in the mobile home or the shed which is also located on the property. The convenience of the bathroom facilities within the mobile home is an added convenience along with the rental toilets from Ben Toilet Rental which we have used in the past. It is very definitely not our intent that -the mobile home serve as a regular or long-term dwelling place. Since its placement on our property approximately 9 months ago, no one has ever spent the night in it and only on one occasion have we used it for shelter from the rain. We appreciate the opportunity to convey our intent for this mobile home to you. Your consideration of this intent we believe should convince you that much of the standard compliance regulations may not apply to us due to the infrequency and nature of our use of the facilities. Should you require any further clarification, please do not hesitate to contact me. Sincerely, MT. OLIVE AOH CHURCH OF GOD % �vti � Elder H. L. Bostic, Pastor cc: Jeff Glander Dvements (b) Drainage. �— construction required prior to tion (No. Name Style, Class) or m-sation Insurance. Drm. 1 Acknowledgement Statement. ation. occupancy). exemption statement. -el creation and 60' right of way to a public road. use. 1. cion developed or (a) Road improvements completed and and frontage requirements. Dermits resolved. Lsions. lance with changes marked in red. ming the above, please contact Yours very truly, David Purvis Manager, Building inspection �\ O a a I IIERE13Y CERTIFY, I INSTALLED ROOF COVERING AS INDICA BUIT-,DING, TN CONFORMANCE WITH STATE AND LOCAL REQUIRE FIRM NAME/OWNER (Please Print) SIGNATURE OF GENERAL CONTRACTOR/OWNER TATE CONTR DATE `I'H1:S CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPA INSPECTION APPROVAL. January 1988 V. 7v owNeice5s 2 — ,app l,c.-�ta.4js* (- N e1-13 S c h oo � 1-7f9-7, -�l A4 /Val S. h vte -7"/ 441,e y jjrtJr]-e /s 'itt(`'� � e lD ✓'� c Pv�v�es. Nec,✓ (� ') -:5> S To ❑ AM Date Time 0 PM WHILE YOU WERE OUT M of Phoned ) Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message Operator EASTMAN 4C200 !Po® i r * .,..a rM- ,.lye.• ,+.' ..�' .1�' ;,b�-^ti..'"1 "vTr w^�S' h�"�7cICl'tS s' i � .' .�: - »rte ^".i`� �- .,- . � r47.. r� ., 177 1 COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916)538-7,941 PERMIT APPLICATION DATA SHEET OWNER W. A. P. No. Z - 316 - 0�/3 Proposed Building Use 'S +A A -f ('y Building Inspector Date. �7� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED 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 $ �L 11. Impact fees as shown on attached schedule. S��:? ...lCcx .... . NscAI,IE� , G o�� et tsfc 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 -ins ection for Preanspection r64 eat {� required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) ............... • 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner, Mail to owner )............ �- 24. Recorded copy of Agricultural 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. 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 r! Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works i a' 4 P, JL Ao vo '. �)•'• - L d BUTTE COUNTY -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 40BILEHONE INSTALLATION SHEET 1. Owner's Name: ZV/ r N"() 2. Installer's Name: OWNAG 3. Is the site currently under permit? (If yes, furnish permit number _ Is the site an existing site? Yes F-1 Yes 1-1 Ut�-lk No _) OR No R (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No F-1 (If no, clarify 5. What is the mobilehome5dlectrical rating? -=------------- 7U Amps 10d 6. What is the mobilehome site service rating? ------------- Amps `o 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the Yes No {� FET mobilehome site service? -------------------------------- (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- 2 (in.) 10'."' -What -isF the"'. services -----------=-------- ' NaturalLPG _p.of" g`as' 11. What is the gas pipe length from meter or tank to the L mobilehome? --------------------------------------------- (ft.) *-12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if_ pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION. Mobilehome Mfr. MOBILEHOME SUPPORT DATA If other than single wide, furnish Setup Model No. Year Width �O (ft.)' Box Length S0 (ft.) Tagalong or Expando Size ft. x ft. 0 On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one). Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)Concrete block. a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE e 1 �, Line 1 Line _ _ _ _ — _ — — _ — — — _ � Line 2 Main Beams Line 2 _ --_--- — — Line 2 —--_— Main Beams ---- ----_ — r tine 2 �.n Line 1 -- — — --------"—Line Tag or Triple -- - - . Linp 4 .... - - ,� Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min- ------------------ x Spacing -Max. ,- Each Side of Openings From Ends -Max. ------- With Width Over --------- Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min.---=-------- „x „ size -Min------------------- Spacing -Max- --------- �_ Spacing -Max. --------------- �- n From Ends -Max.------- '_ " From Ends -Max .------------- Line 3 Roof Loads: Size -Min. ------------111 ..x ..x 'k .. 11X „x �� ..x ��. "x. Location (From Front) Line 4 Piers: - - - Line -5 Piers: (Under_Bearing.Walls-Only Size -Min.------------ Size -Min ------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- , Spacing -Max ---------------- From Ends -Max.------- �_ From Ends -Max -------------- Line 5 Roof Loads: Size -Min ------------- Location (From Front) —r e i r ' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1• caner s Name: 2. Installer's Name: (If no, clarify 5. What is the mobilehome electrical rating? --------------- 4/0 Amps 6. What is the mobilehome site service rating? ------------- /00 Amps 7. •What is the mobilehome site circuit breaker rating? ----- Ild Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size:- (Load) (Amps) r/ 9. What is the mobilehome site gas pipe size? -------------- G (in.) :.10.. What "is_ the type• of gas service? =------ ----=------ Natural LPG .. A ti _- 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION. 3. Is the site currently under permit? Yes. F-1 No (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be -located at 1east.5 ft. away from septic tank and leach fields 191— F-1 and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- 4/0 Amps 6. What is the mobilehome site service rating? ------------- /00 Amps 7. •What is the mobilehome site circuit breaker rating? ----- Ild Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size:- (Load) (Amps) r/ 9. What is the mobilehome site gas pipe size? -------------- G (in.) :.10.. What "is_ the type• of gas service? =------ ----=------ Natural LPG .. A ti _- 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION. Mobilehome Mfr. Width /0 (ft.) MOBILEHOME SUPPORT DATA If other than single wide, furnish Setup Model No. Year Box Length SO (ft.) Tagalong or Expando Size --- ft. x ft - 9 On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)1. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Line 2 Main Beams Tag or Triple _ _ ---- .�JAnAg Line 1 Line 1 Piers: Line 1 Openings: Size -Min- ----- ------ k „ Size -Min. ------------------ x Spacing -Max. -'-" ,_ Each Side of Openings From Ends -Max. ------- '_ " With Width Over --------- " Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min.'------------ „x „ Size-Min------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- „ Spacing -Max ._______________ From Ends -Max.------- '_ " From Enda-Max-------------- �_ n Line 3 Roof Loads: Size -Min.------------ „x „x k ,k „x 1. x11 „x „x Location (From Front) - Line -4 Piers:.. Line 5 Piers_: (Under Bearing.Walls Only).. , Size -Min --------------- , „ - - Size -Min -------- ____----------- Spacing-Max ------- _______Spacing-Max.--------- ,_. „ Spacing -Max .--------------- „ From Ends -Max.------- ,_ „ From Ends -Max .------------- - Line 5 Roof Loads: Size -Min ------------- x „x "A1.1 „x ,k „ nx „ „x „ „x „ Location (From Front) E__ COUNTY OF 'BUTTE - Depart;nent of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Y ' i 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. I personally plan to provide the major labor and aterials for construction P Y P P ] o of the proposed property improvement (yes or no) .e 2. I (have/have not) .17 V 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: Property Owner Social Secur'ty Nu ber 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. r7 ;2-3)-413 MHW£"/ REQUESTED BY: K - Di We C Retur`:'/AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Secti n 26-8.1 of the Butte requires this acknowledgement prior to issuance of a building County Code be recorded permit. All that real property situate in the County of Butte, State of California, described as follows: That portion -of the north half of- the .south -half -of the. -Southeast Quarter of Section 13, Township 19„North, Range 5 East, M.D.B & M lying easterly of the east line of'_'thei land described, in -the deed from John H. Forsbert, Et Ux, to'-, the State„of`CAlifornia., dated January 24, 1966, Recorded.March 2, 1966, in Book 1419, .Page 587, Official Records. (Property Address: 86 Starziak Lane Assessor's Parcel Number: 072-31-0-043-0) Date: 3-15;4-576 PROPERTY OWNERS: 1 ; State of r[�) On this the 1`/' day of /1/I�// , 19 �%'o before me, SS. -the undersigned Notary Public,.personally appeared County ofShwm &kr LLy ei � 1b- /Jj 6ST/L ]Personally known to me, roved to me on the basis �slmawnxummWt�utnntoluuuuu�arumnnuu GIOVANNA G 6UEtSA of satisfac ory evidence. SA � N = NOTARY PUBLIC be the person(s) whose name(s) = • •�; SAN MATED COUNTY, CALIFORNIA bscribed to the within instrument and acknowledged that My commission expires April 3,1992 - ecuted the same for the purposes therein contained. IN WITN SS �wuuuuwmnuluuwuww�uuuuuuuuwumuuumuuuunnuEREOF, I hereunto set my hand and official seal. Present A.P. No. a END OF DOCUMENT The property described herein is adjacent 90-014828 Rec Fee b.00„• to land or included within an area zoned Cheek 5.00 for agricultural purposes, and residents Recorded i ii 1 of this property may be subject to incon- Official Record s l veniences or discomfort arising from the County of use of agricultural chemicals, including, Butte but not limited to herbicides, pesticides, Candace J. Grubbs and fertilizers; and from the pursuit Recorder of agricultural operations including, 8:02am 13 -Apr -90 BG''",'1+"' ,,. but not limited to cultivation, plowing,%•,. , spraying, pruning, and harvesting which 1��i_ ------ --- - �" occasionally generate dust, smoke, noise, and odor: Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: That portion -of the north half of- the .south -half -of the. -Southeast Quarter of Section 13, Township 19„North, Range 5 East, M.D.B & M lying easterly of the east line of'_'thei land described, in -the deed from John H. Forsbert, Et Ux, to'-, the State„of`CAlifornia., dated January 24, 1966, Recorded.March 2, 1966, in Book 1419, .Page 587, Official Records. (Property Address: 86 Starziak Lane Assessor's Parcel Number: 072-31-0-043-0) Date: 3-15;4-576 PROPERTY OWNERS: 1 ; State of r[�) On this the 1`/' day of /1/I�// , 19 �%'o before me, SS. -the undersigned Notary Public,.personally appeared County ofShwm &kr LLy ei � 1b- /Jj 6ST/L ]Personally known to me, roved to me on the basis �slmawnxummWt�utnntoluuuuu�arumnnuu GIOVANNA G 6UEtSA of satisfac ory evidence. SA � N = NOTARY PUBLIC be the person(s) whose name(s) = • •�; SAN MATED COUNTY, CALIFORNIA bscribed to the within instrument and acknowledged that My commission expires April 3,1992 - ecuted the same for the purposes therein contained. IN WITN SS �wuuuuwmnuluuwuww�uuuuuuuuwumuuumuuuunnuEREOF, I hereunto set my hand and official seal. Present A.P. No. a END OF DOCUMENT S�I . 'w r,. ► sa. COUNTY OF BUTTE DEPT. OF PUBLIC WORKS APR 2 6 1990 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT , ASSESSOR PARCEL NUMBER ZO 4INri BUILDING PERMIT OWNER / '-- r + J ' TELEPHONE SQ. FT. 0�.`C, BUILDING VALUATION OWNER'S MAILING ADDRESS -� r P, CONTR'ACTOR'S NAME J f - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER I i UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r < , 1. I. ! Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 - Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: 1 r r y. 1� r _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 / 0V OR L Main service 100 AMP ORSLESS 10.00 Main service EA. AOD'L too AMP 2.50 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 Q I, as the owner, or my employees with wages as their sole compen- �sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr A 2/,zQsgft New CONST ULTBI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR, Ex. Occu . o a Occup(OUTLETS OR FIXTURES eAL0ZI3O FIXED APLINIS Ex. Occup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g i f1l 45:00- 1 , f ,.- 1 F /r, r Permit Fee I $ Contractor 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. ❑.if'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 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 Lavas 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 Crom`tequence of the granting of this permit. X �� Aa1 T �1 r r At'tr- - Date �'"r� }" `7 Signature of Applicant — OwnerU 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCU P. CONST.TYP! FLa D I PARC 7 PD v- HD ISSUE. �' This permit is hereby issued +under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By .-' _ :. a '�- : PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date , -- ' Receipt No. +1 �� ) WHIT!-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSO PARCE NUMB Z(.iJIN BUILDING PERMIT ow R ® Jr4' D C. TELEPHO SQ. FT. OCC. BUILDING VAC ION A OWNER'S MAIL NG AD R SS /< 41 CON ACTOR'S NAME TELEPHO E ' CO RACTOR'S MAILING ADDRESS Fireplace CONS UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LEADER'S MAILING ADDRESS Permit Fee $ ARCHI CT OR ENGINEER vt 6 LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRE f , SFC Y' Z1Cs- CLt�.P Permit fee $ PLUMBING PERMIT Filing Fee 10.00 C v Each Trap 2.00 _ P lolei. Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP 9 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New [_J Additionjj Remodel E]U ' ities EJInstal la 'on ❑ Other E] Describe work' l� GT i � C-0 y /I Ew II, f L.) PUFLrTd,emen f Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 -Wa / Main service 100V OR 00 AMP ORSLESS 10.00 It), Q Main service EA. ADD'L 100 AMP 1 2.50 CONTRACTORS LICENSE LAW ! I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification ' 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.E! , hLDGS.�sgft New AMULTI-OUTLET CONSTR. NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES 20050C 9ALe 3o FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 9 (' - n S, 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. �2��shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemni y and keep harmless the County of Butte against c sand expenses which may in any way accrue all iesjudgmen t�=nting ag st i�6ounty n of this permit. %� Date _S)_= —Z S Si arure of App ant — Owner ❑ Contractor ❑ Agent ❑ n OSHA permit is required for excavations over 5'0" deep and demolition or construct- Ion of structures over 3 stories in height.A Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ a occUP. CONST.TYPEJ F o PARC PD ND seu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF UBLIC By • PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS " �� Date 8 Receipt No. q � 55 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT r. a �p COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION rl . _7 COUN•T,Y CENTER -QRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLIACA•TIDN DATA SHEET /� ,(� �'60J Permit No.1JOWNER6 ! G; tV. lY c� 0, A. P. No. / ! sIq Proposed Building Use ��.� ► C— Permit Fee Based Upon: Complete Contract Price DPW Valuation 0th r (E p n) Building Inspector - Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.., Plot plans in duplicate/triplicate. . ... . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . 5. Plans with Energy Design Compliance Statement. 6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . c; 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12.• Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) r 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Dat %. V 17. Pre -inspection for !� G T I� + C _ Required. Pre-Inspec. request to p q Building Inspector Khen corded cop of Agricultural Acknowledgment Statement . her O 0 �— ou issue the permit, proce s as follows: Mail to owner. Mail -to contractor. Telephone and hold for pickup at office. Deliver w/inspector., Other Applicant Date if "z3�U� Copy of plans sent Health Dept:, Fire Dept. Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at timapplication, circle item.) 1. Index permit for above Items No. V 11 2. Additional items required: ti (Contractor, Designer/'wner)Aas advised .of above required data By 'Plans checked by. Plans approved by Other Copy—DPW ,Telephone Date Date -Da i l Other Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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 aterials for construction of the proposed property improvement (yes or no) I 2. I (have/have not) �(�� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name; N e 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 'k L^ ,vo 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 Social•Security N er Date a - — 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. .f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 ra Telephone: 534-4541 APPLICATION FOR SPECIAL INSPECTION Ownerlir- /Y, (A !Y. L"0/10,r. i n.1 (ge;r'1 A. P. No. �nl -,Y/ _',1 Mailing Address ��%.� 14M M 1/0 !1 xh4 /'/F n /0 ✓' k 04 Telephone No. 41/� —. ��- q/91 13051 ic, r � CC� Applicant SIS, 1AA10 Telephone No. Mailing Address Building Location / u7 en) (1)� ol Y' Z 1 G n r = 0 h S�cs I hereby request a special inspection of the following building: / / 1. Dwelling (if only a portion, specify) 2. Apartment House (if only a portion, spec 3. Commercial (specify present occupancy) _ // 1l/ 4. Other (specify) I am requesting a special inspection for the purpose)of: 1. Moving the building. / / 2. Financing (specify agency) /V/ 3, Change of occupancy to 4. Other ( specify) Case No. I hereby certify that I will obtain the necessary permits and make any necessary corrections, alterations, or repairs required by the County of Butte, as a result of this inspection, to comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within thirty (30) days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes: %!�r�� < /• �_/�_�-s-� Date�- Signa'ture of Owner Fee paid $ 1,7 /1 1st -DPW - 2nd -Inspector - 3rd -Applicant Receipt No. a ❑''Compraint-Date _ 015ther=bate Owner • f'%, -.,-+- (DI I V Address: Tenant: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT r Z ON"ING J A.P. # ~702 r Date of Inspection Inspector Building Location: V_Z_l11►(L G,a,E> S'/s Z,Lea4. Type of Inspection requested: 1. Housing / / 2. Financing / / 3. Change of Occupancy to 4. Work W/O Permit / / 5. Other (specify) Present use of building: ��/�� o� �(, ^� i c .... � /.YAP .u- �/L`_ v J ✓� . A. Sanitation (Housing) r7 .1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements:, 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: (TP, Connection to sewage disposal: (Ve-' Connection to water supply: 13. Rubbish and garbage facilities: 14 Stairs :(Rise, Run, Headroom, 1HR, Tolerances, Handrails)��J l7/Cr 15. Comments: (0 1. 2. 3. 4. 5. 6. ura n Piers and footings: 3 `may Floor construction: S1yL, Wall construction: Zzc4-i- Ceiling and roof construction: Fireplaces: C. Electrical i. 2. 3. 4. Service and ground: Receptacl Fusing: Comments: 3 Plumbing 1. Fixtures connected an< gP 2. Gas water heater: 3. 4. E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: [!5 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. B. T7 c. D. Information only - file. Hold for ten days, then write letter. Write letter. Other: �1 ( ZXf Z � cam! ✓7 �e tc .t�5� ! "J" 0 "jJi—e��4v / i (/ J L S6x �� 3!x3 •. f. 1 � N S6x �� 3!x3 •. f. 7:), 3 1 COUNTY OF B -DEP TMENT OF PUBLIC WORKS 7 County Center Drive - Oro Califor 965 - Telephone 916/534-4541 APPLICAT D ERMIT PERMIT NO. A SSESSO PARCE NUM B - ZONING -- i BUILDING PERMIT ow� R D TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAIL NG AD R SS . V% CON ACTOR'S NA 1 r TELEPH E CO RACTOR'S MAILING ADDRESS - Fireplace CONS 13UCTION LENDER - .4 i , UNKNOWN Total Valuation $ Filing Fee $ 10.00 LEADER'S MAILING ADDRESS Permit Fee $ ARCXCT OR ENGINEER el I LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECTLI OR ENGINEER'S MAILING ADDRESS - �,, Penalty $ BUILDING ADDRE r Ir h� l ES Yl Gl Ci r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 -,� Each Trap 2,00 _ -P_JO W l/ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY , Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK New ❑ Addition ) Re1modeI ❑ U ' ities ❑ Installa 'on❑ Other ❑ Describe work: `e CA r I C _ iae f,IF Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 f Main service 100 AMP ORV OR LESS10.00 /d O Main service EA. ADD'L too AMP 2.50 ` 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.SINGLE License No. Classification 1, as the owner, or myemployees with wages as their'sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1 i ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR ACDNS. (ACC. BLDGS. I �z¢sgft NEW CONST R.ULTI.OUTLET 2.50 ea NON•R ESID BRANCH CIRC ITS POWER APPARATUS e OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050# eALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESIO.1 EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g -V14 14 P 15.60 V ( - Permit Fee $ WORKMEN'S COMPENSATION INSURANCE r 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 li2/1'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 Filing Fee 10.00 Heating Cooling g 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 Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also a ree to save, indemni y and keep harmless the County of Butte against al I fes, judgmen c s, and expenses which may in .any way accrue ag st id County 'n qu nce of the granting of this permit. XDate _V—,�3-- Si ature of App ant - Owner ❑ Contractor E]Agent❑ n 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 $ Energy Inspection Fee $ `^ TOTAL PERMIT FEE $ C/ occuP. CONaT.TYPc IFLOODIPARCELI RD No IseuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 4 `D5_5 WHITE-O.P•W.. YELLOW-ASeESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT N a Abvy dull)X11 i vt� cG� c�c ri co�s�du��u Nj SYUn � iD �Id )G S 6 .1 a7"& -S — LIoS�,,d N 0 �E+a�PrV-S i 7M cQ•,� S e P Bleu w �g •`^e- P 292 970. 373 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED— NOT FOR INTERNATIONAL MAIL (See Reverse) SENTTO Mt. Olive Apos Org. Holy STREET AND NO. Chu ch of God 605 Hamilton Xve. P.O., STATE AND ZIP CODE Menlo Park, CA 94025 POSTAGE $ CERTIFIED FEE ¢ W �u SPECIALDELIVERY ¢ s 0 RESTRICTED DELIVERY ¢ W W W SHOW TO WHOM AND ¢ o- Cw DATE DELIVERED Ft i y h SHOW TO WHOM, DATE. h AND ADDRESS OF ¢ g a W DELIVERY o W SHOW TO WHOM AND DATE H s DELIVERED WITH RESTRICTED¢ Z o ¢ DELIVERY v SHOW TO WHOM, DATE AND ADDRESS OF DELIVERY WITH ¢ RESTRICTED DELIVERY TOTAL POSTAGE AND FEES $ POSTMARK OR DATE 72-31-43 10/17/85 STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see front) 1. If you want this receipt postmarked, stick the gummed stub on the left portion of the address side of the article, leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier. (no extra charge) 2. If you do not want this receipt postmarked, stick the gummed stub on the left portion of the address ,side of the article, date, detach and retain the receipt, and mail the article. 3.,! If you want a'return receipt, write the certified -mail number and your name and address on a return receipt card,- Form 3811, and attach it to the front of the article by means of the gummed ends if space permits. Otherwise, affix to back of article. Endorse front of article RETURN RECEIPT REOUESTED a adjacent to the number. 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee, endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested, check the applicable blocks in Item 1 of Form 3811. 6. Save this receipt and present it if you make inquiry. 4 *GPO: 1980331-003 0 3 e I e SENDER: Complete ..Tents 1. 2, 3, and 4. Md your address In the "RETURN TO" space on reverse. (CONSULT POSTMASTER FOR FEES) I. The to8wing smIce Is requested (dak one). ❑ Sfaw to r.Tom and date dwmmd ............... e Show to wtwm, date, and address of delivery .. 2. ❑ RESTRICTED DELIVERY ........................... e (Tile resrrktad Mmey to Is eW90 h &MIM to W roWm reaw to.) • ,TOTAL 3. ARTICLE ADDRESSED To: Mt. Olive Apost . Org. Holy Church of God 605 Hamilton Ave., Menlo Park, C 4. TYPE OF SERVICE %NUMBER ❑REGISTERED ❑INSURED aCERTIFIEO ❑COD P292970373 ❑EXPRESS MAIL (AWNP obtain elgnature at addressee ea agent) I have received the article described aba". SIGNATURE ❑Addressee y❑41ftrized'K::d OF DELIVERY �A MA„ 6. ADDRESSEE'S ADDRESS (e lot A Z 7. UNABLE TO DELIVER BECAUSE: YEE S m tNITIALS ANPO: 168247M 72-31-43 10/17/85 bldg UNITED STATES POSTAL SERVICE OFFICIAL eUSINEqS ` SENDER INSTRUCT S r i Print your name, address, and 21P Cod �fp thg space �el� • Comphte thms 1, 2, 3, and 4 f�etweFaa, • AtheA to front of article R space otherwise affix to back of article" • Endorse article "Return Recelpp"Mepuested" • adjacent to number. PENALTY FOR PRIVATE USE, ww RETURN Public Works " COUNTY OF BUT-ri: (Name of Sender) DEPT. OF PUBLIC WORKS 7 County Center Dr. Jr OCT 21 1985 (Street or P.O. Box) Orzoville, CA 95969 (City, State, and ZIP Code) ATT: Building Dept. s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 _ APPLICATION AND PERMIT Y r ASSESSOR PARCEL NUMBER DN INIG BUILDING PERMIT OWN MAILING TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S iADDRESS ` CONTRACTOR'S NAME - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER "`- LICENSE NO. Plan Checking Fee $ �Ly Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS- , - - ' �' f �� •/ it � : Y � Permit fee $ =,•�, f�c PLUMBING -PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 -- USE OF STRUCTURE. SF ❑ Duplex❑ Mobilehome❑ Other i '� -� f L .• k, t - ^--f SPECIFY , .}. Gas piping system 1 - 5 outlets 5.00 Burldin sewer g' 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New Q Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA, ADD -L 100 AMP 2.50 .r CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business anted Professions Code and my license is in full force snd 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 OR ACONSDDNST ( DDWEACCLLIN GSCCU xsq, 6 2'/4sgft NEW CONSTF; MULTI—OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 209301 e ALe30 Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ ; •r, i Contractor 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 per$$on in any manner so as to become subject to the W. C. laws of Califothia. Notice to Applicant: If after makinqWs s`4•atement, should you become subject to the W. C. provisioris'-of-the Labor 6.6de, 11�c must forthwith comply with such provisions or this permit 1ha`IC'be em`�d eL ed. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certifythat I have .e4d '&s plication and,state that the above information is corrct. I agree to comply to�al•I tCountyM1Ordinances and State Laws relating to building construViloi and he eby,Alut ri\ze representatives of the Countyot Butte to enter upon �he��a,bove-mentioned p opprtfor /iinspection purposes. I also agree to save, tindemnify)and keep hsrs the!County of Butte against all liabilities, judgments, cost's; 4�dexpe�yvfZich may in any way accrue against said County, in consequence of'the granting of this permit. -- JI` _.: 1 X '' +— •_^ r 1 , . . i I�te Signature of Applicant — Owner Contractor 1:1 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 $ Energy Inspection Fee $ , TOTAL PERMIT FEE $ Occ"P.CONT.TYPEJ FLOODPARCEL ;r PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC , BY �rt,_f _-, r.r PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS f Date 4,; !f. k' I/ f Receipt No. I \) i WHITE-D.P.W., YELLOW -ASS E330R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ` - APPLICATION AND PERMIT OMM/mIM47.1 NUI ASS ESSORI Al. CEL NU BER ,L/'� ZONI BUILDING PERMIT. OWN II \)g TELEPHONE - SQ. FT. OCC. BUILDING A A TION OWN 'S MAILING A DRESS J a CONT ACTOR'S NAM 7�LE CONTRACT 'S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ U, sio ARCHI ECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADD Ss \ 2 k Permit fee $ r PLUMBING PERMIT Filing Fee 10.00 S \ Each Trap 1 2.00 _ Solar or heat pump water heater 20.00 LOT . SUBDIVISION NAME PARCEL MAP Water piping 5.00 Q Each qas water heater or vent 5.00 USE OF STRUCTUREGas SF ❑ Duplex❑ Mobilehome❑ Others ✓ SPECIFY piping system 1 - 5 outlets 5.00 Building sewer 5.00 p Mobile Home S I G I W O.00ea TYPE OF WORK New x Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 OR ADDNSCONST. DACCLBLDGS.CCU '/22sgft NEW cONSTR MULTI -OUTLET NON-RESID 2,50 ea BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 20®50C 5AL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 5n 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 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 again t sa d County in consequence of the granting of this permit. X i6LeJDate /6 -as 0s Signature of Applicant — Owner ❑ 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCu P. CONST.TYPC I JF71P711 PO HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF P BLIC ..; By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS T Receipt No. WHITE-O.P.W.. YELLOW-ASSrSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COVN,•;•Y(CENTER,DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 �{ DE I APPLICA ION.[DATA SHEET Permit No A. -n" � A' ,�� , Proposed Building Use J neop / _31 0 1(0 Q Q 0 Ict I Permit Fee Based Upon: Complete Contract Price DPW Valuation Other %E�)�, 9 Building Inspector ) ,4i Date /0/0 S- �7— At time of permit application, I was advised'the following data must be submitted prior to permit processing and./or issuance: DATE RECEIVED APPROVED 1. All items. have been submitted. �. . . . . . . .... . . 2., Plot plans in duplicate/triplicate. . . . . . . . . . . 3: Complete plans -in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . • . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 'f Letter of signature authorization.; . . . ... . . --�� Sanitation approval from Health Dept. lob S S_ Planning approval for (A) Use: (B) Parking: . Certificate of Workmen's Compensation Insurance. . . . . 1 \ Contractor's License Information (no., name style, classlf.) ` 3. Co 0 0 14. Owner -Builder Verification jGiven to owner❑•, Mail to owner ❑ ) 15. Improvements may be required. . . . . . , . . . 16. Mobilehome Installation Data. Z Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Recorded,copy.of Agricultural Acknowledgment Statement. . . _ + 19. Other ` ti � A. ;.When you issue the permit, process as follow: gK Mail to owner. Mail to contractor,! Telephone and hold for pickup at ffice. Deliver w/inspector. Othery Appl is Date Copy -of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: i ,.. YAn . r ..c arc a ••rci (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked byDate lans approved by Date ther: d' MDL `�ox_ iVaAzc 1AAF40 y•/ M90 A100ZS.�G�cvi�. G�11,a.r�4. Ed AtS i .Q 1A) S./. 4&77A4 �r 45�PI': /301tf-Ir 102 Copy—DPW 70: Building Department From: Environmental.Health Subject: Sanitation Clearance' pA a a k Oiva 4V�U z/4 Owner Location AP// Plan Approved for: Sewage.disposal water supply Hold final for: water supply Final clearance O.K: for: water supply Clearance for bedroom .mobile home. Other `.aLCV C _�4•G�� \� PO ,, �c Q anit arian Date COUNTY OF BUTTE - Department, Qf Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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) %s 2. I (have/have not) signed an application for a building permit for.the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of 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: Property Owner ��... Social •Security Number Date /o - 015- 25 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. NOTE-L -AD s _} l 1I r+� yFP.'gia�<1�x(= - 'i�l+.'sr w F``r t < t .' .-w : . • , ` ,' •�`1 �gi��`y�i"��ri3Sw�yii�...:(!�<;? •J� £�:��tic-r�_5�3,-M u4i�I.?I i Bui,::Jing. Pi�''sttl i'ej:C� f.7 fl%ftf:�A a � <L _•ate ." r� s - • t -r:. - .. V irw�.�.,:y • - 'd ' ,�`.�.�� _ • ,. '��;'i://N��s�'��CI; `!�^!jQfi ��l"'�" �� P�S7 Ate• '��}yt` :i. �' _ . i •-. .. _ '�b �:�L?w i�{�Q1'fS!'7ii1 �' y7,-T-,j��a{�' .. • '•rte- e 1 �� - � - .. ,- a , Ok hZ E _ • •icy toa feat �:• PJ Otv � ' � - _ .. . � ` Ok ��2 to � �� - ..• O 5 O wg- �S` y IN �w vI ,. yap eov! Aoo .,� ._ • . - ... - • •. - �� yam;: T3 • ...: � :�.`.; �. �.y.�`.—_ '{j. �:- .. \��;; � it 'r; 'moi' ..�� ' � .. .• .. . .'':I. _�.�• ' ,i•'.ir:;'• _ .••.- :Y: ,:l :v �...�� ~ ��,. •�: ...! 1�'a. a'r't. -'�- t .{•h�rY._ <.✓.^t`-'S„�r.Y_t�•••`.�+• ''� ,1"t ._ ;¢�• • t`'_•. • •ate .'t:-• _ •-� �_;:" •F, - .. y�i T, y.r ~•��.%C' � —J'• _ _ ti. � fir• • . 'T Lq•. ^.r'S'' �. ' �i`��C�']�L � i,. :•n 4.:•• .- �.y'y `: .,rr•'. �i•. .r�.�--�>�1.. :t— . .. _. �' .r ti,RJJ •-�t•r�' _ � ' ice- F.-„i'!� . •.s-7 'r ` T��--^�•'. - ...'�. � • � _ `' `� �; ��.. _ �i b`'�`y,;: :•:.. Ir$- .�Y�"-.;^+�� _i�-�.�' _ - _-.`�-..:'^_.w�i-.'.l :�r(l�,r '::l�,T. •,��.. ^1•''�i { i'ti•_ w. � 7`�.Lf'��L•' •'�� ... •.--.'.:.r.` ,i. �''�.eL•"�,T'Jt•,�.iL wr"' •,i -�. -. .. � ?^��' �� i• :F.��-'_ �;: - ^ - � '_tom": Cri` - -< ..., .::'r� `.`++.- '9"'eo=•� ':�'�'�f•�•..i. it I, _ ,its _ _ • •'�` .•O :. 4�� I-L: _ _' tea - _ - • _ _ _ _ - it 't -�5:• .. "-:7' ter" •`•' :'r, I" Y�.. IT LE 1 - •S ' '!('! _ •� tai Y 1N .�4.• a. r _ I r y — — • \' • •.r _. -4,.. Y `` .ice -rw. �. F. :c 7 3 .y t PF !:/: ':rT ?' _•\: rti;� - as _ -•+•r .►� L}•"''-•#•,:.; ::y. ..y.�- •ytL ,�.�:J' •n Lo fA ..yt. ,.�:{. =5a_• .�<.�. '.r_. �'7 ,r.'�.,a,! .�.' _ _ r{... .t t �... -:� •>' .�: .;' ,+aj;. ...0 .`�':'). �_ r. .r . :a .pt , wy- . [.� ._°.,.` � l_y��` .:,� a •:�'... •s-' •—. � .. r. ,�� LMS. �•._'.':-�,;,,�?t LAMA -- --- 4�6 •c • r, lAt- _ •Iir b._ 'SSE...'e:: _ _ .t' .:�: - - _j 'Ji �.• �'�•',.Il.i .: - ,.7:. _ ,r ri• Y • r, � • 4.• _ r - ...moi• ':�: :�; •fir'` '�E�'` 'i' .. -- . -;r ''.:rt•:* s..• �. _.:�« - - mss'•;,-:;::tet -ti..� _ :mss'- =•L.. �., ;�".: »:y,� ..��-r':' `-;�;�': �ct:' .. ren- i :•�� _ - - ..-•'f':K_... 'a� .:� !'L'r.�'r� .� ``r. -: ti.•i-t: '•t. -'': ->::� �:i-t:.': ;�•,.p r w�- _ •a-' .,, �',.a {i=:. ,R .,.. :;-' -��.; ".- ,:- _ , ;•. -..- 'tin. a• . `•- `. '�� e'.::-T.'+..••� wM:.•.tic' rte.. , �:i �-�-�.' •".+•;;" -.. .•.-�- �,�-� ' t... :� Cyt. •�. -jlta%n•n• :1�� cs•-..S+fi. ��F� .. _ r .) - L e i."��".♦�-F •�, �:. •�. e� •Zy-' � �+.•j�_. aT_f ..t J. ;ai �' .�• - ,� _- _ _ `ice...-'�`.�...} .^f;`_'A�ir':w�.(4%.�%°moi: !J, u� -�.�y�). '�:' 'h�- •.,�.•� - .!. _-s:_ `✓'- -i. �; �:,:.r:'• '�`.. "r •i ''j:_��+ZL �., ,'j. q i `: A•�t •_l. r', n , •rim '!%w• . :{ . - j. '# r„ .. ,i... x;7 _ ...v. • T}ate. . �.•�a...xta=�f 'T'.._ i:�{ .l ,• - '�.. �f'•` � - 'j'.t .-rs ' I: __ : e� r" :;+" i�n.` �y• �� r..' �T,�yn .• �.r..ei��:.wr. {�i`v.'�� •ir s..f`•� ti�� •, ,F-- ,�,. . M..� r � ..Y.: 'cif ._ - `'t.. r - _ �� :�: tifd::•at��'. ^�1�(�^.t i .'-i. i,..�. v.S, • r° J._ :.f,. � , ': T• �-•• � .. ... - .:1ti �'. - :_c rw'..o: TOM" CLMAP P"m . • . — _ .i � :'it iii � - K,n�... �...- ,.JOB FINALED (Date) Signature RESIDENTIAL 72-31-43 T 355-90B I mt. olive A.O.H Church of God 1 86 Starziak Lane, Forbestown (deck/MH) X;(j 7Zj ,.JOB FINALED (Date) Signature J=OK - O=NotOK -=Not Applicable Not Ready MOBILE HOMES = Date MOBILE HOME UTILITIES (Plans) OK except Ors 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4: Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 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. Exits; Insp.-Sketch 10. Cert. of Occupancy 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 #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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, Distances-GFI, 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit I 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL (E ' = 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 -Bloc kouts-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/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearinq ,ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic, 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except It's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 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: (NOTE: An entry must be made each time you visit job site) COMPLAINANT: ADDRESS: PHONE NUMBER: OTHER COMMENTS: cl 45, w A'T F- o a k -v PS j U 1- fr`t r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ' 7 County Center Drive - Oroville, California.95965 - Telephone: 916/538-7541 �APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 72-310-43 ZONING ,g5 BUILDING PERMIT OWNER Mt Olive AOH Church of God (415) TELEPHONE* 853-9715 SQ. FT. OCC. BUILDING VALUATION 240 eek 1200 OWNER'S MAILING ADDRESS 605 Hamilton Ave,f Menlo Park 94025 1w CONTRACTOR'S NAME Otmer TELEPHONE Y, CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee '' $ 20.50 ARCHITECT OR ENGINEER LICENSE NO. Plan _Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS 86 Starziak Lane Forbestown Permit fee $ 45.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑.� Duplex ❑ Mobi lehome ❑ Other � �;=� �;;f 1 - SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 e TYPE OF WORK NewyAddition❑ Remodel E] Utilities❑ installation[] Other❑ �'I t Describe work: f�1//r�R� _ - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR L Main service 100 AMP ORES SLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 �"""��jjj �� F-51 I, as the owner, or my employees with wages as their sole compen- IL `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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. Business and Professions Code for this reason GOCCUP.&) S. oR ADDNST ( DWEACCLLING 21/4sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 12.50ea (POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR' FIXTURES 2AL@ 9L® 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.� 2.(]0 Temporary service 10.00 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. t Notice 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 FiIirig Fee 10.00 Heating Cooling g 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. 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 agains ai •tCougy°in ;co6sequence of the granting of this permit.o" X �/' - Date Signature of Applicant — Owner 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 $ Energy Inspection Fee $ OCC I CONSTTYPE TOTAL FEE $ 4$.50 HAz CUA PARK SCHL FLO PAR PD H ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. p DIRECTOR OF PUBLIC WORKS • By Date �� / PER ( T EXPIRES Date _ 7—;9-9/ Receipt No. 58638 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r 2550-88 RESIDENTIAL 72-31-43 Mt Olive A.O.H Church of God 86 Starziak Lane, Forbestown (util,MH) 353 �0 ,. t . t 1�'^r If ti $jp . x. �t cr e yam..• f 1 . } JOB FINALED (Date) Signature h� J=OK O=Not OK, -=Not Applicable Not Ready MOBILE HOMES = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector t 4. Electricity; MH Test -Crossovers -Breakers -Clearances 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except Irs 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI ' 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-PaneIboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK - = Not Applicable ' = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Bra c-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Botts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive O Yes 13 No; Walks ❑ Yes O No; Planters 0 Yes O No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made Ir 4 ). COUNTY, OF' UTTE - DEF"ARTM T OFµP VC'IC {7 K' r 7 County Center Drive"! Orville. California 95965 -,Telephone: 916/538-7541 ,..: APPLICATION AND;'PERMIT IIERMIT NO. (-/- C/ C� ASSESSOR PARCEL NUMBER 1 p-. '" + i 1. 4. {{{ ZONING f `BUILDING PERMIT owty - Mt Olive AOH ifxch of Gdd 415 TEL'E,PHONE 853-•9715' SQ._FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - - 605 Hamilton Ave f•Men1o'.,Park 94025 .' CONTRACTOR'S NAME '" Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS- .. a t Fireplace CONSTRUCTION LENDER ,UNKNOWr, ''�' TotalValuation $ Fil+ng _Fee $ 10.00 LENDER'S MAILING ADDRESS - Pernii't Fee , $ I ARCHITECT OR ENGINEER L I CE4.1'S E•NO. <`,. `-", Plan Checking Fee' $ 15.00!' Energy Plan Checking Fee $ _ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 25.00 BUILDING ADDRESS -�-•F- - - 86 Starziak Dane Forbeatown . Permit fee $ PLUMBING PERMIT FilingFee 10.00 �•k..e j �f Each Trap 2.00 s Solar or heat pump water heater 20.00, LOT NO., SUBDIVISION NAME - PARIE MAP S^ .Water piping 5.00' Each qas water heater or vent 5,00 USE OF STRUCTURES SF ❑' Duplex❑ Mobilehome�Other - c'?F .� ` .. SPECIFY t. Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 'Mobile Home S G W 10.00e TYPE OF WORK New ❑ ` Addition ❑ • Remodel ❑ utiliiies ❑ ' Installation -Other ElPermit Describe work: '"�/ rF! •12� _L_ y'I JYft f/��` :, 'i'J _-c Qi' `'?�53••�(� Fee $ Contactor ELECTRICAL PERMIT s FilingFee' 110.00 - -M in service 600V OR LESS 100 AMP OR LESS 10.00 Mai riservice EA. ADD'L 100 AMP � 2.50 p CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): , %yti� , �¢• ^' F I am licensed under provisions Of Chapt. 9, Div. 3 of the°Busi.ness w and Professions Code and my license -is In full force. d 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 t �jfor sale. (Sec. 7044)`I. ' ❑' I, as the owner, am exclusively contracting with licensed,contract- ors. (See. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason.... ., NEM CONST. DWELLING OCCUP.&), OFE"ADDNS. ACC. BLDGS. 2h¢sgft `;N ,EW'CONSTR. MULTI -OUTLET N O N.R ESID BRANCH CIRC ITS 2.50 ea -. -:f. POWER APPARATUS & I SINGLE OUTLET CIR. - Ez Occu / p\OUTLETS OR FIXTURES 20e50e' aAL®30 FIXED APPLNS. OR E.A. OCCUp: OUTLETS (RESID•) EA.) 2.00 . Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building D,Tepartment . aCertificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Xoshall not employ any person in any manner so as to become subject the W. C. laws of California. Notice to Applicant: If after making this statement, should•you become subject to the W. C.. provisions of the Labor Code; -you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that'l 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 , Co y ' onse ence of the ranting of this perm i I. X �' Date Signature of Applicant — 'Owner Contractor ❑ Agent ;C An OSHA permit is required for excavations over 5'0" deep and demolition of construct- ion of structures over 3 stories in height. a Mobile Home Installation Fee $ • UU Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 70.00 HAZ•., CUA I PARK "• ,+ I SCHL FLD PAfi, � PD HD ISSUE"agains Th's permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERM EXPIRES Date_ the applicable provi- resolutions to do have been aid. p WORKS Date �' 9- Receipt No. �g��$ -t WHITE-D.P.W.., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ^�•.: 'COUzNTY OF BUTTE.- DEPARTM61SIT OF, PUBLIC WORKS t, PERMIT NO. a, r' x '7 County Center Drive— %ville, Californ a'95965 -'Telephone.• 916/5387541. _ `1 APPLICATION AND PERMIT " SCJ ASSESSOR PARCEL NUMBER ZONING , r BUILDING PERMIT ow - L. ef TEL PHONE] QRA_Q 1' SQ.'FT. OCC.BUILDING VALUATION 1 OW+TN1.1'E'R'SMNG Db 5 -`" . '• Menlo60.5 Hamilton Ave, Pak 94023 CONTRACTOR'S NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS �• Fireplace f CONSTRUCTION LENDER UNKNOWN Total Valuation is ., LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. ' 1 ARCHITECT OR ENGINEER'S MAILING ADDRESS n -� Plan Checking Fee $ Energy Plan Checking'Fee $ Penalty t $ BUILDING ADDRESS R6 StArzi,ak Lane, Forbesto�n Permft fee L-' ,$ x'15.00 PLUMBING PERMITI FifingFee 10.00 Each Trap 2.00 ' Solar orrheat • ump?w er heater, 20.00 LOT NO. SUBDIVISIONNAME TIP-,"RCEL MAP \ Wat piping i L 5.00 Epch qas wat h rer or vent 5.00 OSE,OF STRUCTURE SF ❑ Duplex[]Mobilehor4e Other f... ter• �..� t SPECIFY �, G s piping e 1- 5 outlets_ 5.00 Ysy B ilding sgwer Mo i1plHo e I IS !,: o 110-00ea WTiYPE'OF WORK New ❑ Addition Q Remjjo�d/}el I❑l Uti lit es EQ� Installation 0 Other ❑ f Describe work _ �:}Ct '50{.. �]i'/I '�, 1 '• ' Pe it Fe sal -'' $ Cont actor t E ECTRICL APERMIT Filing Fee 10.00 1 - Main service tOO VAMP ORSLESS 10.00 1OX0 Main service EA. ADD -L too AMP 2.50+ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one); Q _ 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 L ,/,' 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 Sthe owner, am exclusively contracting with licensed contract- L• ,Y -ors. (ec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason �NO V{ACONST. DWELLING occuP.& ADDNS. //ACC.BLDGS. 2 4sgft ' N ;W CON STR MULTI -OUTLET 'NRESID BRANCW.CIRC ITS 2.50 ea , X31 s, POWER APPARATUS e (POWER OUTLET CIS. ) Exr OCcup(OUTLETS OR FIXTURES BA @g0 't FIXED APPLNS. OR Ez. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporaryservice 10.00 Mobile Home Facilities 15.00.00 5.00 fvli`sc. Wiring g 15, Permit Fee $ ' 3000 I, 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. t : I shall not employ any person in any manner so as to become subject to the W. C.-Iaws of California. i 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. r Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g - r7 'Hood"' - j ` 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 thei 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 Date Coun in sequence of the granting of this permit. %� ��, � �f�— ^ 110 -;�--�- ° ' Signature of Applicant — Owner.Q?O" Contractor ❑ Agent ❑ t An OSHA permit is required for excavations over 5'0" deep and demolition o�wconstruct- ion of structures over 3 stories in height. Mobile Home Installation Fee' ,$ Energy Inspection Fee►" $ occ CONST TYPE TOTAL FEE $ 90.00 HAZ CUA PARK �-- SCHL — FLD, ✓ PAR/' t/ PD HD ssue This permit is nereby issued under.the sions of the Butte County Code and/or work indicated above for which fees IRECTOR PUBLIC BY T X PERMIPIRES Date _._. - appiica' le provi- resolutions to do have been paid. WORKS ate `'�7" %`" / '_' f'r Receipt No. SQFqR WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT -