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072-340-022
STORM DAMAGE REPORT 0 A.P . LSCHAGEL 72'3S� a �, ss Black ar00' east Fire Camp Road., Oroville Permit 2357-72R,E . (uti]Lties for mobil h?) /` AP 72-34-22 NEVE SMALL 13 410.1 /%j, tst6 J 6475 Black Bart Rd, Orovi]]e 144e Permit# 4778-74B,E(storage bldg..) --- AP -72-34-22 Permit# 10 7-75B,E(add'1 footage for 4778-74) V AP 72-34-22 hQ Permit# 2355-75E(s)for 1077-74) A - .. 72-34-22 Permit #1149-77P,(add'1 comode) private workshop%I )41'-/7_' AP 72-34-22 Permit 5896-7.78 ,(awning/MH) CONTR,b.Northstate,AluV.,Chico 1 7 �� a 1 i3 72-34-22 . ermit #2484-79B,P,E(convert stor age to residence & add deck)SF 72-3472-2 Permit #6662-79B;P,E(new private-. garage & workshop) 72-3422. -------• -- c Permit #394 72,d open deck /SF) D'. , . . 072=34-0-022 93-1356 E MITTS, JAMES 516 BLACK BART, OROVILLE CONTR: SHARP ELECTRIC REPLACE DAMAGED ELEC SERV/SF a 072-34-0-022 93-1686 B} MITTS, JAMES & LAUREN (' 516 BLACK BART RD, OROVILLE 7f1��' COMPLETE/79-6662 r 072-340-022 �4y PERMIT#94:-2305, ' MITTS, JAMES � 516 BLACK BART RD., , OROVILLE CONT: GEORGE SUMAHITA REPAIR DECK/SF �9/q� 072-340•-022 PERMII'#94-246(� .PADILLA, Arthur & ST. JOHN, Barb 516. BLACK . BART RD.,. OROVILLE F -Z% ;COMPLETE'BP#79-6662(REPLACE S #93' 'UNDER; JAMES MITES) A;Ak 072-340-022 PERMIT#95-0605 PADILLA, Arthur.�B. n 516 Black 'Bart ;Rd. , Oroville Woodstove/Workshop 9S 072-340-022 PERMIT#95-'0606 ,F PADILLA, Arthur B. 516 Black -Bart Rd.% Otovi le J Fireplace Insert/SF 072-340-022 01-0952 ST. JOHN, BARBARA 516 BLACK BART RD. OROVILLE CONT: OWNER GAS PIPING FOR STOVE f I fj a,Tw �k,w ey,w - - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL PARCEL NUMBER r r ZO"I"G - BUILDING PERMIT OWNER nn��nn��AA77))�� �v�+ lAt'iL�t.aCli A S TELEPHONE 569-.2-272 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 516 B1AM LART RD. CRt)LrIME CA 95:36 CONTRACTOR'S NAME aarER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 516 BI.A ' F r r,- Ener Plan Checking Fee $ Energy s 5 PERMIT FEE $ LOT No. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: W PIPL3G FOR SIM Gas piping system 1 - 5 outlets 15.00 • Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoo. oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. J, X Date 0.) ,•' 7/ _ Signa urs e of Applicant !'D' Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction.� of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DW .IG OCCUP. SO OR ADONS. a ACC. BLDS. 3.50FT; NON-RIWW 61p, MULTI- OUTLET @7.50 APPARATUS a SINGLE OURET CIR. .00 EX. Occup. OUTLET OR FNTUREs BAL ®1.50 Ex. Occup. OUIXT�APPRES p.oEEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES 35.00 FEES IMP I FLOOD COF PARCEL I PD I HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a ove for which fees have been paid. ey t �V . Date PERMIT EXPIRES ON Date �- Receipt No. 324262/ 35.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Barbara A. St. John Arthur B. Padilla 516 Black Bart Rd. Oroville, CA 95966 530-589-2272 .artbarb@cncnet.com w 2053 Caroly ay N� ato, C 4947 415- .-6216 -'� mann f@cmc. et T re4{tltid• 5'Min. Sei'bac _ N PLOT PLAN Min Scale: 1. 82A js- B. R - 11 B,e OTO 61 Gar. U Kit.- U _ L.R. X ro4. JI I Show .size of doori%vindow openings Show electrical layout on floor plan Show location of p!umb.*ng fixtures FLOOR PLAN Min.Scale: FRONT ELEVATION TV -Min. Scale: %4 ! I=0~ TYPICAL FRAMING Min. Scale: %2'= I=O" IX3 j� ('00/1), I Ai FOUNDATION PLAN Min. Scale: �4=1=0 La TYP. PIER SECT &B SECT.kA FOUNDATION DETAILS Min. Scale: 3W= I'_O'1 ALL INFORMATION SHOWN ABOVE TO BE USED AS A GUIDE ONLY IN PREPARING PLANS TO BE SUBMITTED TO BLDG. DEPARTMENT, Show all necessary dimensions, materials, sizes,spacings a spans of structural members Stow gas appliances, plumbing fixtures, elecf equip,,appRoncesilights;switctle-5 outlgts and all other pertinent data, including water heatei and heating and cooling equipment. 2 .NOTE t ass and signed on (1) Alt plans Iro bale submitted mitted in t:ll it ens. (2) Sanrtot�on �ermit �nu�' be issuade br�or to building permit. ( 3) Building must be permitted use in zoned area. (4) All setbacks measured to closest portion of building. COUNTY OF BUTTE Dept. of Public Works 7 County Center Dr. Oroville, CA. 95965 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 1� �3►-7� OWNER A V 7 _ -.. i — Z PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work r is complete if you have any questions pertaining to this matter, or need additional explanation, e please c ct this office immediately. Date Inspector REV 10192 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 01141 OWNERPERMIT NO. A routine inspectionindicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleaseclo ct this office immediately. Date Inspector��� REV 1OJ92 • 's -'n COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please,contact this office immediately. ola l nl A,/ 1` cam' ` PL ' 7'� ' C'i N✓. 1_ JZsAGf. Date Inspector./k'ft//�/ Woe, �� ��� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Vt__? c- — i J - 'a PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work s_ is completed. If you have any questions pertaining to this matter, or need additional explanation, , please contact this office immediately. Dates' �� ' nspector REV 10192 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -'� 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT 0. ASSESSOR PARCEL NUMBER 072-340-022 ZONING 1 BUILDING PERMIT OWNER James & Lauren Mltts TELEPHONE 89-x`;43 .SO. FT. OCC. BUILDING VALUATION Est, 00 OWNER'S MAILING ADDRESS 516 Black Bart Rd., Oroville 95965 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ r ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ .30.00 PLUMBING PERMIT Filing Fee 15.00 516 Black Bart Rd., Oroville Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other GArage/Workshop SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W TYPE OF WORK New` Addition; RemodelL Utilities Installation[ Other Describe work: Permit to Complete B.P. #6662-79 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service R SS 200A OR LESS 18.50 Main service 20rTO 1000AI 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 NEW CONST. DWELLING OCCUPM OR ADDNS. ( ACC. BLDGS. _37.50 3.64 sq.ft. NEW CONSTRULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20 76d FIXED APPLNS. OR Ex. Occup. OUTLETS(RESI D.) EA.) I 3.00 Temporary service j 15.00 Mobile Home Facilities 15.00 Misc. bVirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any •manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you 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 1 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against I: County in cons uenc of th 'ranting of this permit. X. ` - l�– 3 Date ignature of Applicant— Owner Contractor E] Agent ❑ An OSHA ion of structures tov required So; neheagvfattions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $ 3n• 01) HAz DFEESIMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR -OF -PUBLIC PERMIT EXPIRES L Date applicable provi- resolutions to do have been paid. WORKS De ; Receipt No. WHITE-D.P.W.• YELLOW-ASSE350R. PINK -INSPECTOR. GOLDENROD -APPLICANT w , I ij COUNTY OF BUTTE — DEPARTME T OF PUBLIC WORKS RIIII I11N(: IM4PFf_TIAWd. RFC*no 1 Piers Garage Footings Stemwa l l Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Roofing /' Sewer Fdn. Vents j" Fixtures Garage Vents BUILDING BUILDING (Cont'd) Prov. for physically handicapped Conformance of ex. structure PLUMBING Setback Firewall FIREPLACE .Soil Pipin Footing Forms Parapets 1st Floor 77 - Z 7761 Main Bldg. Restroom Finish r 2nd Floor Footings Windows ! 3rd Floor Stemwall Siding To out Slab I Roof Sheathln : } Water Piping 7l/` 7. ; _ Piers Garage Footings Stemwa l l Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Roofing /' Sewer Fdn. Vents j" Fixtures Garage Vents Water Htr. Insulation Heaters Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Final I Sanitation FIREPLACE Final Footing ELECTRICAL r3ond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling _ Temp. Pole Finish Ducts Underground Interior Lald Ventilation I Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service I Elec. Pedestal Water Piping Sewer Gas Piping ME INSTALL TION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE off" �® REMARKS OR CORRECTIONS JA14t L S; f 0 / A16- A C_ (NOTE: An entry must be made on this form each time you visit the job site.) Paly3_ .MIT NO. 6662-79B,P,E P WNER ERMIT EXPIRES — Steve Small ONTR. owner b . 72-34-22 OCATION (A.P S/S Black Bart Rd., 1.3 mi.off Forbestown Rd . , . Orail le r-' Temp. Power Pole Called PG&E _ Temp. Elec. Serv._ Called PG&E _ Temp. Gas Serv. _ Called PG&E _ JOB FINALED (Date) (Signature) James & Lauren Mitts 2 Chames Court Oroville, CA 95966 vcrr�n � wmn � yr vc. ccvr mcg• vcn � wc.a 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 May 9,. 1994 RE: Building Permit # 93-1686 Expiration Date: 6/8��m aVF A.P. # 072-34-0-022 With reference to the above subject, our records indicate that your building permit expires on the above. date and your permit falls into the category marked below: [ ] Permit"work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). -The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until anew building permit has been issued. For your convenience, we are .enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all cok•!ies of the_ application form.. (SX f XX"No -iris ections have been made . on permit work: Inspections are required to verify code compliance. We are unable to renew a permit where the work has nod.: been started and inspected prior to permit expiration. After.expiration of your permit, no.work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the ) Oroville.: office. Thank you for your prompt attention concerning this matter. Yours very truly, Mich el C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/831-2751 Paradise Office - 747 Elliott Rd/872-;6307 1 QOUNT'i�F 31JTTE — DEPARTMENT OF PUBLIC WORKS •'Y` Y 7 County Center Drive - Oroville. California 95965 Telephone: 534-4541 APPLICAT'116V AND PERMIT authorize representatives of the County or butte to enter upon the above-mentioned prop.qrty for inspection purposes. 'r •1 Date SlgnatureJof Permitee or Agerpi I Receipt No. �'� / C: (v� f/' White-D.P.W. xet}oe4ssessor/- Pi ape'ctor - Gddd946diAJi cant This permit is heye�b day -ander the app rAt1*14) ovisions of the Butte Count � e a d/or resolution t do workaiicated above r which fees have been paid. r- B44REC OF P LIC WORKS/U 1� Date ` -� Building perri it expires Da l �— — �� BUILDING Owner SO. FT. OCC. BUILDING A DATION �:.�`.. --- Mailing Address 6 Telephone No. Contractor Mailing Address Fireplace r Total Valuation Telephone No. Permit Fee Building Address:5,�,,%�✓� //�/lT �l� ` l Plan Checking Fee&/or Penalty— Permit Fee _- /'`t=r=� PLUMBING No.1 @ FEE ! PERMIT FILING FEE $3.00 z?i Each Trap h 1.50 LJ, fZfJ I Repair drainage or vent piping 1.50 Ar� �. — 'j { - Z L A. P. No. u�- t fatting & Planning , Water piping 1.50 Each gas water heater or vent 1.50 F&es I `W.6 Sa ' Parking Parcel EQA Plans Declaration Fire Dept. Fire Zone I Use Permit Gas piping system 1 - 5 outlets 1.50 Parcel Map 60' R/W Improvementei Each additional outlet .30 Building sewer 5.00 Bldg. Plans 'Rec'dParcel A proval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ 1 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family Duplex ❑ Mobil Home ❑ Others,[!i R '�Y p � C!1 Main service 600V OR LESS loo AMP5.00 Main service EA. ADD'L 100 AMP 2.50 00 A ' Y •% /y � -••� /Jf Main service OV100ER AMP6o0OVR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. !DWELLING OCGI,, 4) 2¢syft Z.�c, OR ADDNS, \ ACC. BLDGS. G CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9. Div. 3, of the State of California Business & Professions Code under the name of:( style of:( NEW.CONST BRAMULNCH L T NON.CONST BRANCH CIRCUITS) 2.50ea NEWCONSTR. +POWER APPARATUS 6 NON . RES I C. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIpES) 50@2na BAL@1 FIXED APPLNS. OR Ex. Occup. p•OUTLETS IRESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California: Permit Fee $ IWORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �f I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I 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 Land Development Fee $ TOTAL PERMIT FEE '�S� $ authorize representatives of the County or butte to enter upon the above-mentioned prop.qrty for inspection purposes. 'r •1 Date SlgnatureJof Permitee or Agerpi I Receipt No. �'� / C: (v� f/' White-D.P.W. xet}oe4ssessor/- Pi ape'ctor - Gddd946diAJi cant This permit is heye�b day -ander the app rAt1*14) ovisions of the Butte Count � e a d/or resolution t do workaiicated above r which fees have been paid. r- B44REC OF P LIC WORKS/U 1� Date ` -� Building perri it expires Da l �— — �� 3 C -A i . s TRI STATE CARPORM 336 RIVER END LANE DOBSON, NC 27017 PHONE -877-494-2997 FAX -276-755-2083 Send iv: : honc TM -STATE OU POM 9L Att9ntlOn: `j DaW- Z o -- " — D • Of icotoc afion: Off" Locatiom 00350x1. PiC fox NUmber: Q v Phone Number: 877.49`9-2997 urgent . Q Reply Amo? Plsas,& ccynrnan Z�?�acs� est=.5 ;J. your Inio.'Mar;on• Tdtd page$: inCYu[ling cover , .comm- CALCI ER VI T -- Tb -n4 c: G -P-oy N b �t:!v7 w w� �)Z THANK YOU. 2272 TRI.-.wSTATE CARPORTS,- INC. 336 River End Lane Q�,pFEssoy Dobson, NC 27017 TOLL FREE -1-877494.2997 .MAIN =1-276-755-2081 CDD C 63024 f' m -FAX -1-276-755-2483 EXP i _ �m F QF C A. MOIM1OAAppA�i11A�16AAE llE Sq[ vWpgrtlts mann Ufi�Ei, � ANI N3�tpIM PAIBdI1wC1A?fDWI �! TAA116i P81�i . OffiS1AnOW�lC6ii0lll8i ' . Tri-state 'Garports 20 Ft.'Wide Model (TRI-20CA), DE516N CRITERIA DE516N NOTES- DRANN6 INDEX PR€VAILIN6 CODE: UW Mq7 Aµ. GO'WRU0710% 5HALL BE FROVIDED IN A"4WANC.Ii: KITH SF T i -COVER STANDARD IIJILDIN19 GORE, 0514A, AISC,:AWSD IJ CODES AND ALL LSE 00P; P: U (CARPORTS, BARD) AT'f'IJGABLJE-J.00AL REWIRItMENS. SHEET' 2 - BUILDIN6 SMTIONS BA510 AIND YMOCITY: 40 MFW SM7W 506E WNNWTI0N5 SHALL BE PROVIDW A5 SHOWN 0'N SHEET 3 - ELEVATIONS SM 1 ANI, SHALL BE FIELD AD.U57ED ON THE BASIS OF MFRS ROOF DEAD LOAD:: 1.0 P5F FMIREMID S FOR ACTUAL SOIL TYPE. ; SHEET 4 - FRM INTERIOR - FULLY EWA-QSED - MODELS =- END -WALLS ROOF LIVE LOAD: $ P5F All MATERIALS IDENTIFIED BY MANJFACTUFM NAME MAY BE W9STMAW WITH MtATERIAL EaAAL OR E?GGEEDING QRISINAL 5 - REAR ENCLOSURE - GROIMD SNOW LOAD: 25 PSF JKTEiR1OR VIEW JIM/ OPENINS ALL SHOP GONNMTIONS SHALL BE 01111DE.D GONWTION5. IMPMTANCE FACTOR: 1.0 :MEET & - REAR ENG; 54.1IRE - FULLY LL AmmD coarviow stALL BE TEKS •3 olexr): TIGL05ED-MSODIELS -, END Jk111..1;5 SEISMIC ZOW, IV MR FWLY !TAMED MODELS, MAIC MD& LE1147H IS 50'-0' SST 7 - DETAILS LOAD GQMBINATIOii: ,vL4 L .. SHEE1" 6 - AW.44 RAA6E OPTIONS Q�OFESSio, , y ~� C63 24 0UA m TOP MEMBER -15 2-1/4X2-1/4 - 12 GA. OF 6� � • �, C12 NtI P 12 ,gym° PEAK BRACE - T5 2-1/4X2-�114XI2 6A 1 121-0" R8 It MANDREL BEND 24' L6. KNEE BRACE I - TY?. EA. SIDE TYP. EA..51DE. SIDE P05T - 6ALVANIZEO - SEE I SCHM. FOR TUBE 51ZE AND SPACING - `Q TRI-STATE CARPORTS, INC. iPY, = 50 K51J , l n 336 Rivet Ped law j I �4 Dobson, K 2701..7 • BASE RAIL - 12 6A. - GOC!ITINU0U5nua+•�.nbas.xri- MATCH P05T SIZE -.(FY = 50 KSI) I PAX -i-mms-w. FIN. GRADE OR TOP OF GONG.• r 19'-4" NOM. TYPICAL BUILDING 5EGTION - 11! M!#II{T1010i1Q��! N T� �r1/r! 11! fR! IIY O 11MOYI! SCALE: NTS mra M rwn aiw�a`Oa ,pie POST LE a.w�rN,e uwa°r w° r DAM P05T W. SPACING (G/G) P05T SIZE (PY = 50 KSI) ORA"� ' 5R1M T -b" 4811 T5 2 -1/2X2 -I/2:- 12 6A. o�eome,GA 46" TS 2-1/2X2-1/2 - 12 6A. LGE T5 2=1/4X2 -1/4X1; 6A. INSERTED IN T5 2-I=-Il2XI4; 6A INSERT TO BE FULL HEIGHT. FIELD BOLT TYPICAL BUILDING SECTION U5E TS 2*1/4X2-114X'; 6A, INSE�+tTED IK T5 W/' EK5'#12X1".9 I2" WG STA66M. 2-I/2X2-1/2X14'6A. OWOSIj FACE TRI-20GA' facer a -, one a 5 24 6A. CORRUGATED 57EEL - &ALVAMZED OR PAINTED. MAIN RIB HT. = 3/4" (FY = 60 K44) OR Ea. (OPTIONAL SIDE PANELS) 2 3 6' 1 6" ANCHOR - TYP. ANGMOR EA. BAY CONT. EDGE TRIM - 2-112"X2-1/2' Zq &A. ALUM AN61LE ATTACH Y'V TEKS SCREA N NEOPREWSTEEL K45HER.EVERY 2 RIBS AS NEEDED PER S+fET:. MFR.'5 REGOMMEWATION ROOF BENT SEE .SGHED. FOR TUBE SIZES FY = 50 KSI 6ALV. BENT DETAILI IliadEDGE DATA I L z SC4E: ;31411 ? 1'-0' 3 SCA ;$/4 :;'1'-0* e TRIM DETAIL ,u C 630,2,4 r -b z". 1F�R��P* `n TRI-STATE CARPORTS, INC. 336 -River End L e Dobson, N 2700 14" b(m -1.tr4Wss-mi v uc. t -mus -m . M MYMMtb' 4110" O M 19m Mi ll! tot q�OQ1 cp mom Mr iwn+a� a►"iwiain � � � FROM n. wm b/a3/oy . 6RJM OA oiuw�wrma ELEVATIONS UVAI`01D, TRI-20CA jo `n FT6. 6„ I ¢„ I 6„ DETAIL - SEE ANCHOR ` ANCHOR ' ANCHOR ' _ —t 5EE 5HT. FOR MAX. �. SID ELEYATfOI`l*' ELEVATION U301H.15 AS' PER GU5TOMER ORDEIF ' 56ALE: WS 24 6A. CORRL(GATID 6ALV. OR 12 PAINTED STEEL - MAIN RIB HT. = 13 I-1/8" (FY = 90 K51) OR E.Q. SEE FASTENER SGHM. FOR ATTACHMENT' ROOF SENT: (AT 16")' FASTENED 5CHED. ROOF PANELS SEE $IEEE 2 FOR TteE 1 TYPE: TEKS 012Xf' SCREM 522 W/ NEOPIRENE/STEEL YVASHER 4 &ALV. OR EQ. ®b° G/G OF CORNER n PANEL AND 6" G/C 1 ELSEY*M - MIN. ONE KNEE BRACE 8 FAST. PER SPAN AT SIDEL,AP PANELS -- . - E GOVT. 2q 6A. ALUM. ED6E --- — - TRIM OR MICMAL SIDE PMELS FOR FULL EWI M)1U .E 2 3 6' 1 6" ANCHOR - TYP. ANGMOR EA. BAY CONT. EDGE TRIM - 2-112"X2-1/2' Zq &A. ALUM AN61LE ATTACH Y'V TEKS SCREA N NEOPREWSTEEL K45HER.EVERY 2 RIBS AS NEEDED PER S+fET:. MFR.'5 REGOMMEWATION ROOF BENT SEE .SGHED. FOR TUBE SIZES FY = 50 KSI 6ALV. BENT DETAILI IliadEDGE DATA I L z SC4E: ;31411 ? 1'-0' 3 SCA ;$/4 :;'1'-0* e TRIM DETAIL ,u C 630,2,4 r -b z". 1F�R��P* `n TRI-STATE CARPORTS, INC. 336 -River End L e Dobson, N 2700 14" b(m -1.tr4Wss-mi v uc. t -mus -m . M MYMMtb' 4110" O M 19m Mi ll! tot q�OQ1 cp mom Mr iwn+a� a►"iwiain � � � FROM n. wm b/a3/oy . 6RJM OA oiuw�wrma ELEVATIONS UVAI`01D, TRI-20CA 12 &A. PL. E.S. N 2 - TEKS FASTENERS PER MEMBER - fYP. AT EA. JOINT INDICATED —� a wow clasp Nr aleeou MIM r asMm ~� C 63024 z rn m CNI%- 'OF C,� 12 MID -POST. 75 2-1%2X2-I/2X14 6A. DIA& BRACE - TYP. ON FILLY ENCLOSED MODELS AND AT E.5. AT OPENINSS AAICHOR- '►YP. EA. SIDE b e MAX. 10'-0" DOOR OPNS. b, 4'-O" MIN. AT BRACE 141-4.1 NOM. LOCATIONS - TYP. FULLY ENCL05ED MODELS - END AALLS VV% OPENING SCALE: NTS NOTE: MAX. BLDG. LENGTH 15 30'-0" TRI-STATE CARPORTS, INC 336 Rivet End Lane 3 CRAmslimCRJ"FRONTEND WALL �6/ SRM Dobson, AIC 27017 f..,,�,...M4%-2M °�0 m °`' OA �►� � TRI -200A XAn -!-V&7s!-2mf .,v_,�. Pr CAWFT fid r7F A "LI Q K L 9 0 n J H W 4 o tt I w D O Q � o LU L 9 0 n J H W 4 o tt I s Mp�M,lvl «row N i1� aww pe e Nii rwwnr cr,i0irn,e tMv1�q Nc, NI' IQiNmYG11a1 N}AQ' � 1114! RBgI► M' sm ~ C 63024 i EXP \S} CNIX- Q F OFA 6 BASE RAIL IQ' -9' NOM. 12, 12 �3 ANGLE BRACKET ANGLE ANGLE VXb"502 6A. E.S. MIN, - (5)' --\BRACKET AW7L KET 1/48X1" 5CR&G AT EA. MEMBER"' /T5 / MEMBER AT MAX. 4'-0" SPACING FOR PANEL / SUPPORT - CUT TO FIT // T5 2-I/2X2-I/2 - I4 6A. 0". I \\ AN61E BRACKET W, X6LE/ANGLE 2 - 1/4'X1" SCREOG PER IvEM$ER - 71'P. \\ A BRACKET s Mp�M,lvl «row N i1� aww pe e Nii rwwnr cr,i0irn,e tMv1�q Nc, NI' IQiNmYG11a1 N}AQ' � 1114! RBgI► M' sm ~ C 63024 i EXP \S} CNIX- Q F OFA 6 BASE RAIL IQ' -9' NOM. 12, �3 ANGLE BRACKET ANGLE BRACKET 2-1/2X2-1/2 - 14 6A. VERT. /T5 / MEMBER AT MAX. 4'-0" SPACING FOR PANEL / SUPPORT - CUT TO FIT // T5 2-I/2X2-I/2 - I4 6A. 0". BRACE - TYP. X6LE/ANGLE RACKET -N . MAL i b" `AWHOR - TYP. r_ FULLY ENCL05ED MODEL — END WALL SCALE: NTS NOTE: MAX BLD6. LENSTH 15 30'-0" 1 i u -41n 1L. vqnl vn i al m%.—D � BALK END WALL DETAIL 336 River F.�d Lase 5RM . DobmA NC 27017 cru7" '' pA 1cu TRI-2OCA �$nsW INAt7f • 1.776757.1081 ''AXV-D W. 4FFT Q i. AF A 12 SEE SHEET 2/8 FIELD BOLTED - MA104 NUMBER AND PATTERN AT COL/BA5E CONNECTION — TS 2-1/2X2-1/2 --/, 2-1/4" X2-1/411 5QUARE ROOF FRAME TO 2-1/2" X2 -I/2" P05T COL. CONNECTION %ALE: PITS i4 — C 63024 rn � m d E7P q g rA- 5EE SHEET 2/8 I I T5 261/44-1/4X14 6A. FIELD BOLTED - (6) TEKS $12 X I" - :-1/2X2-1/2 12 6A I _ — DME RAIL CONT. COLUMN/BASE CONNECTION 2 SCALE: NT5 9 TS 2 -1/2X2 -1i2 - 14 6A. FRAME AROUND OPENING ROOF FRAME I=mo 4 - 11411 X I' lmE (OPTIONAL) 'f ANCHOR SCREY'l9 - FIELD VARIES i AT BOLTED f OPENING, 4 TYP. ES. 12'-O' MAX b" TYPICAL END DOOR FRAMING TYP I GAL FRAMING AT 51 DE OPENING SCALE: NTS SCALE: NT5 aR TRI-STATE :CARPORTS, INS: av#RM 6 DETAIL5 336 River End Lave ' SRM, DobsoA NC X7017 °PN"�'� la: 1 ��OA TRI-2 0 0 A 2SAA1-1+2167 2081 ^Rm viT !t 1 Ai A SLEEVE RIDGE LINE - z; r -,1/4" X I" 14 T5 2 -1/4X2 -I/4 - - FIELD 146A. FRAME AROtW BOLTED - EA. SIDE 7 VTLDI FRAW DOOR RAIL ROOF FRAME I=mo 4 - 11411 X I' lmE (OPTIONAL) 'f ANCHOR SCREY'l9 - FIELD VARIES i AT BOLTED f OPENING, 4 TYP. ES. 12'-O' MAX b" TYPICAL END DOOR FRAMING TYP I GAL FRAMING AT 51 DE OPENING SCALE: NTS SCALE: NT5 aR TRI-STATE :CARPORTS, INS: av#RM 6 DETAIL5 336 River End Lave ' SRM, DobsoA NC X7017 °PN"�'� la: 1 ��OA TRI-2 0 0 A 2SAA1-1+2167 2081 ^Rm viT !t 1 Ai A V TRU-STATE CARPORTS 336 RIVER EN® LANE DOBSON, NC 27017 PHONE -877-494-2997 FAX -276-756-2083 z5z.070•l�i I:.. Send to: ' I%mv M -STATE CARPORTS UL Attention: Date:Zg2-Z,?- O Office Location: Office Location 00880PL NC Tax Number. Phone Number: 877-4990-M Z urgent Q Reply ASA? �J//1°ldtC'iiC �C�.rl.l'^V�CiI K �•�IiSC Ge�:S:���� .: .��il �?oLr t:1�Ci-=1TiC:i14'p Total po®es. including cover:_ commwuY: M I* W-10 ml (2) 4'0 OPTIONAL HELICAL - ANCHOR ON SAND/CLAY SCALE: 5/4, = 1'-08 MOBIL HOME AINCHOR FOR SAND/CLAY COST: CALL REP. HELICAL ANCHOR NOTE, HELICAL ANCHORS ARENOT TO BE USED IF DRIVING TORAE INTO 6ROW0 15 LE55 THAN 150 FT-LB6 Vmw=rslt� 21"14=06 � C 63024 EXP 013-1.1, bit U24OX30' LG. 61 MIN. A36 6ROUND EDGE DIST. SIDE POST ANCHOR bit BASE RAIL 5/8.'A36, THRD. Roo W 513 Emxv. - Typ. Sloe POST FLAT AASHMS) WE 12" SLEL RASE RAIL 1/4"XII, Tme .11 IEi I I -EE SEE 5W. 6 t3 r 1EET1 It CONC. SLAB OR FOOTER W MIN. 8' AIDE IE�I I Eff IL ==Fff F�rEIEI Mil !—J! X DEPTH AS PER LOCAL CODE (8,1 DEEP MIN) RAT MALL ALL AROUND Oor By OPTIONAL I IIEHI-111 11:FE EXPAN51ON ANCHOR ON CONCRETE SCALE: NTS NOT BY TRI-STATE DOST: CALL REP UNDISTWBED SOIL NOTE; ON LEVEL GRADE, 016 A 12"0 HOLE 420 DEEP AT EACH ANCHOR POINT. REPOSITION BASE RAILS OVER HOLES AND DROP A &ROUND ANCHOR IMWL16H EACH HOLE IN BASE RAILS. FILL EACH HOLE KITH 3000 PSI CONCRETE. OPTIONAL PIN ANCHOR DETAIL ON CONCRETE FOOTIN6 SCALE: Ws COST. CALL REP TRI-STATE CARPORTS, INC. 336 River End Lane Dubsm NC 27017 XA�-M-4W2W? ')-MM-2001 9,1%• 1•T1 k21 I t9lo 3 ANCHOR DETAILS Vqm CN=Yf. -------------- OA TRI -200A PG SHEET 0 8 OF a M Tvu-STATE CARPORTS 336 MVER-END LAME DORSON, NC 27017 PHONE477-494-2997 FAX -27.6-755-2083 send to: *a= M -SPATE CARP M IN. Attention: • Dow , D + ' d Office_ Wcofion: Office Loceffiam D08SON, NC fax Number._ yd Phone Number: 877.4%-391y . Urgent .0 ReaivASAP '2.iplecse Cornmeal, M. ?l�ii ?rOJr E'1t4.1?liYiiC" Totol pggeL incluldng-cover. omments: ' THANCYAU. TO 39vd S1210daVO 31ViS Iai 88Z6SSL9LZT 60:60 b00Z/8Z/0T 4209 Monroe Sweet we /moi JTrf 7G f ;C 7 S fB T"O,,Oft 43608. MmEr Na r7� i�� tG � � C LLCuaTUo ev � OATE ti �J "fflmurtual bigfneer;. ltd. Tei: (419) 992-1983 • Fax: (419) 292-0955 CHECKEUBY %w k oarE Z0 39Vd SiWd8VO 31ViS I81 88Z69SL9LZT 60-E0 b00Z/8Z/0T --- PdYOIEM 24F SPACE :3.SFT NZSP$F W90MP1� r.... LOAD.CAL A : : USING 13AC1997 - -- _ - .... _ ..... ... .. . ... .............. ._.............. ......._..... ..... ..... :-........._ _......... ...._..........................:............................... 15EAD LOAD i ........... ... ..... ....:............ .............. ,........ - .._. .._... ......... ............. ..............._.._ . ........... _.._. .. ....:.... DEAD LOAD' 1.Opsf ... .......oQ _ - _, esslo �qt 0;...0. _.... ..... . ............ ............. .......... ..D .... :.._:..... ..... _......... _.... ......,p) (1:Ox3.5#.O_0-33krf .:............ .. .630 4 cm .. 2: S1J4W LOAD _ m ........... ........... ...........,.....,...........;.,..., :..._..:............,........ ...... .•..........:.........__.... ........ ..... .... ROOF SLOPE:. ._ 3 �ON 12' : c L c� .... SNOW ,.. GROUND . LOAD'- ' pg=5 psi' �__......__ .,... -- - ...... .... .........:.........._............._....................:. ,.,.:.,... - C.....- :SLOPE RED : -.'1..'p...,... UGATIOI�I-FAC 9 '1 OR ............._............ $No w...ESI'QSI1R ... QEF[CI NT........._....._ ...... ... _._.. _... _ ..................._....... ...... ...:... ... ......... ....... ;....... ... ,..,...._.............._URG..;TAB.LJE..A..1.-A.._..+. -.. .... ... ........ .......:........__..._...._....-.._.................. .- ----- r:= 0:9 Il�ORT�II�T ;._..._.._...... :..:. CE FACTOR. . ..:.................. ......................... _ .... - ..,,....._.._..... _._..._...._._....UBC 'I'A�LE A `.16-B =C -.-I p,-- (0:9)(U: (25) 20:25p ....._. ......... --: p�p. ......... -......_.Cs.. _..(1.,.0: ,2Q.25 -=.20.25' )c ) :.... -- .... ............. ............_.: il,.-; X,cpArJ�- 2) 2,. _ x �.P ........... .... .. :....._._.. _...... , 3.. WIND LOADr...,.................:__......... ............... :...,..,,. _........ :_........ ......... _.._ ...... ....... .... _....... _.. ................ ; ..__......_.......,..,...:..,.......:......_...... ........... ..... . ........... 04 ........................... .....- -:. ...:........... :....:........:..... - .. MA7.CIt11.NiEAN ROgF HEIG . •_................ :............................... • : 14.1258 . ....... :...._. _........ _..... ... B IC WI1Jn SPEED:-._.:-..... ..._ .........:.............:....._. 90h&H.........,..................:............. . _:.....:.::,: P = 9 :.._......................... _ ........... C..9..sl:� _._........... ... ........ ... :........ _... .. .......... _............ :.....,._. . .. - ....... ..... ........ ..__.,... _......`,,,.,•............IJ'13..i0..:..1.).... ........... .:.............. ................... ..................... ...:...._.._. ................ ....... ...... ..... _...... :..._...:._.....,.......... .... .._.... ............ ... ...,..,: ..,......_ ....,.... C=1-39 HEIGHT IS LESS THAN 15FT & EXPOSURE .D....•.•. _.......... ..... .......... . ,. . UBC T ABLE 16-G q., = 20.8 BASIC WINDM......... ............ ., ............. _........... "IUBC,--*----"-"-'-'" TABLE16F., ....__ ..................._ Z0 39Vd SiWd8VO 31ViS I81 88Z69SL9LZT 60-E0 b00Z/8Z/0T LOAD a 5+1dt1M E CASE 1 k0000t)' fkiipp-ft) -SHR (kips) (kips) E-AXIAL -.0268 -.0089 (kips) (kips) ( ipf) MEMBER B e OU89 .0046 -.0046 LOAD S-P97M E -Nom S -SNR . (-RSA I (kip -ft) {kip=ft) (kips) E -SHR (kips) g-AXIS E -AXIAL .0000 .0731 .0070 -.0070 (kips) (kips) . MEMBER 8 3 .8158 •.8158 .LOAD S -MOM E-p90M S-SKR CASE 1 Ikip-ft) (kip -ft) (kip9) E-SHk (•0016-(0089) S-AXIAI E -AXIAL .0268 -_0509 -.0046 (kips) ,14EM8ER Y 4 -0089 LOAD S -MOM E -MOM S -SRR E_gyR CAZZ i (kip -ft) (kip -ft) (kips) S -AXIAL E -AXIAL • .0509 .237 .0599 -.0549 Ikigs) MEMBER k 5 -10(7984kips) 10.7984 LOAD CASE 5 -MCT (kip -ft) 6-MO)4 (ki ft) S -SHR (kips) E -SHR S -AXIAL E -AXIAL 1• -.1259. -.1309 --0163 (kips) (kips) (kips) .1492 6.1040 -6.1040 LOAD • S-MDM ,(kip -ft) E -MOM (kip -ft) S -SHR s g_g� S -AX IAL E -AXIAL CASE 1 -.0168 .0501 ( + (kip*) (kips) (kipsl .0079 --0079 -.4281 .4281 MF1+0iER q 7 LORD S-MOHC-MOM ()Lip- rt) (kip -ft) S-Syx (kips) E-SHR SHR S-MIAL C -AXIAL 1309 -2983 (kips) 1X0491 (kips) .0676 -.2099 7.9029 -7.9029 - MEPlSER A B LOAb S -MOM E -MM S -SHR E -SHR CPyE_ 1 (kip-tt) (ki ft) (fps) (kips) S -AXE E -AXIAL • -.3484 i 98 -.1961 -.1293 (kips) 7.7912 (kips) MEMBER 0 9 -7.7913 LOAD s -MODQ E -MOM 9 -SHR B -SHA CRSE 1� (gyp -ft) -.1033 (kip -ft) (kips) (kips) S -AXIAL E -AXIAL -.0335 -.0153 (kips) (kips) " MEt•�£R b 10 .0153 -9.6511 9.6S11 LOAD - CASE S -MOM (kip -ft) E -MOPS (kip- Yt) S -SHR (kips) E-SiLR S-��' E -AXIAL 1 -.:261 -..1070 '. -.0484 k- 1 049) (kips) Ikipsl MEMBER q 11 ".0984 .4523 -.4523 LOAD , . S -MOM E -MM, -.,S-SXR CASE 1 (kip -ft) _ (.kip -!t) (ki s) B -SHR (kips) S -AXIAL E -AXIAL -1882 .1930 .0673 .0673 -.Oc73 (kips) -.0065 (ki ) MP.ME6R +t 22 .0065 LOAD S -Mt)M S -MOM S-sHR CASE 1 (kip -Lt) (kip -ft) (kips) £-SRR S-AXIA1. E -AXIAL --0861 =.2021 -.0419 (kips) (kips) (kips) 0419 1.5196 -.5196 E0 39Vd S1210ddVO 31ViS RI1 88Z69GL9LZi 60:E0 b00Z/8Z/0i + i i .LOAD CASE, I . ROTATION(rad) VERT.Iin) KORIZ (in) -:O011e ' -.Q111 •1155 JOINT $ 7 LOAD CASE 1 ROTAZ'IO'N 1.rad), VURT -.00046 (in) NORI2 (in) -.Oo29 ,4165 JOINT N 8 , LOAD CASE '1 ROTATION (rad) VER? (in) HORIZ (in) .00084 ,0054 .3788 JOINT 9 9 d LOAD CASE 1 ROTATION (rad ). VERT•.(19P' '-HORIZ (in) 00091 .0054 .3170 JOINT R 10 LOAD CASE 1. ROTATION (rid) ) 1/ERT {iL) HORIZ (in) -.0009') . 06b0 .41.43 JOINT It 11 LOADROTATION CASE •1 (rad) VERT_(3n) HORI2 (in) -,00118 •0140 .4101 JOINT # 12 - LOAD CUE 1 ROTATION (rad) VERS' (in) HORIL (in) . -.00109 .0659 .375-6 JOINT 8 1J LOAD CASE 1 ROTATION (tad).. VERT .(in) HORIZ lint -•00262 .0058 .3710 • JOINT 1 14 LOAD CASE RT ROTATION. ( rad) •.. ••VE ERT (in) HORIZ (in) _1 -,00355 .1909 JOINT 4. 11 LOAD CASE 1 ROTATION ,(rad) VERT VERT (in) HOAIZ (in) -,002.35 .0000 JOINT O 16 - LOAD CASL 1 ROTATION (rad) VERT HORIZ (in) -.00260 .0875iin► •0000 • •a+ NiEPfl3ER FORCES *•p MOl4 analysis) - Negative-when 'clockwise (oz-ca usintop P 'te nsion 01/10 _.SHR. -. Positive WheO aCting in•the AXIAL' - Positive Point e091t- Y-direction MEMBER q . 1 when acting in the Positivr k-direction b0 3Jtid S12i0d8VO 31VIS Iai 88Z69SL9LZ1 60:£0 1700Z/8Z/0i y . FULLY ENCLOSED MODEL (1WrrH OPENNING) EEIGHT: 12.5n WIDTH: 20FT 29 3 4 3 .8024 • 24 4 0 .782 29000.0 6.047 .8024 23 5 6 3 '.8024 .782 29000.0 3.JUO -6 11 12 3 .782 29000.0 4.385 .8024 • 27 12 13 -0 .782 29000.0 4.385 .8024 . 29 33 1'4 3 .102 29000.0 3.000 .8029 29 14 15 9 . 782 29000.0 6.047 • .8024 .782 29000.0 6,047 `CASE ' LOAD 6 1• ••• . •......................r " LOAD ROTATION (ead)_ - CASE 1-.00118 VERT ,(iR) HORIZ (in) • -.0111 .4155 .. JOINT 0 7' ' - LOADROTATIONN (rad) CASE 1 VERT (in) HORIZ lin) . _ t -.00046 -.0629 .4185 • JOINT 0 ' LOAD ROTATION (red) ' CASE 1 VERT tin) HOAI% lin) .00084 .0054 .3788 r JOINS' 4 9 4 LOAD ROTATION (rad) CASE 1 VERT (in) 80RIZ tin) . .000:1 .0054 a .3770 ' JOINT 0 10 .. LOAD ROTATION (rad) ' VERT lint HOAia (in) CASE 1 -.00097 .0660 .4143 ' JOINT 4 11 LOAD ROTATION (red) CASE VERT (fn) HORIZ (in) .. 1 -.00118. .D140 .9'101 . JOINT 0 12 • LOAD ROTATION grad) VERT (in) HORIZ (in) CASE 1 -,00109 .0659 .3756 ' JOINT ► 13 + �LOAD1 ROTATION (rad) VERT Ifo) HORIL (in) -.00162 .0056 .3710 JOINT 1 14 LOAD ROTATION (--dl CASE 1 VERT (fn) ROAIa lin) -.00355 .0075 .1909 • JOINT 4 15 , • LOAD_ ROTATION (zaa) CASE 1 VERT ISn) HORIZ (in) -.00235, .0000 .0000 • JOINT i i6 LOAD ROTATION (rad) CASE 1 VERT tin) HOR28 (int ` • -.00260 .0075 .0000 'MEMBER FORCES --- MM analysis) - N ative, a8 anon. Clockwise •. .lon.causinq rep tension 01/10 point SRR - Positive when actinq.in. the eosicive T-directior. - 'AXIAL - Positive when acting In the p031-ive MISER 0 1 r X-dlrecti4n 90 39Vd S1210d6V0 31V1S I211 88Z69SL9LZT 60:E0 V00Z/8Z/0T 4209 Monroe 3116et Jog Toledo, Ohio 43608 �¢ En_geneenng Sr,E�"°. of GucULATEo ev DA-M Tel: 419 292-1983 • 6ioin: (1 OIECI Eo ev ( ) Fax: (419) Z92-0955 VA„E SCAU VIOLATION CHECK LIST A.P. #0 /z `'���'`i�z2 Address 6/1,14 Owner Owner's Address Owner's Phone No. Supervisoral District Tenant's Name Phone No. Type of Violation in -Detail with Code Section Priority No. Specific Plot Plan with C/V Noted _yes no -Penalties Required 1st. Notice Sent 2nd. Notice Sent ate ate Comments and/or Determination Disposition For Citation _ Citation gate (Date) Department Recommendation to Court' Court Action Notice of Violation Recorded (Date) 1J) Barbara A. St. John Arthur B. Padilla 516 Black Bart Road Oroville, California 95966 Y November -1, 1994 Re: Completion of 79-6662 (Replaces ##93 1686) See Permits Linder James Mitts, Issued to Arthur Padilla/Barbara St. John on 8/31194 To Whom It May Concern: The attached drawings for the garage/workshop located at 516 Black Bart Road were drawn by Arthur B. Padilla, one of the current owners of said property, .in response to a Correction Notioe issued by the Butte County Building Division -of the Department of Development Services on September 1, 1994. These drawings reflect interior measurements which were made to the best of our ability as lay people, as are the markings for electric plugs, light switches, water pipes, etc. -As the building was already in place when we purchased this property in July of 1994, we cannot verify any construction that is not visible. Arthur B. Padilla Barbara A. St. John V Barbara a. St. John Arthur B. Padilla 516 Black Bart Road Oroville, CA 95966 }" November 1, 1994 Re: Completion of 79-6662 (Replaces ##93 1686) See, Permits Under James Mitts, Issued to Arthur Padilla/Barbara St. John on 8/31/94 and telephone call to Michael Viera, Chief Building Inspector, Butte County To Whom It May Concern: In response to a Correction Notice issued by the Butte County Building Division of the Department of Development Services on September 1, 1994, Mr Viera requested a written note as to how the Garage/Workshop built under the above numbered permit would be used. The attached "plans" are.in two pages, each reflecting approximately one-half of the building! The area on page one will primarily be used to store business and personal files, seasonal clothing, personal property of family members, excess furniture and rugs, including seasonal items and a freezer. The area shown on page two will allow space for automobile storage, gardening supplies, seasonal decorations, building maintenanoe/repair supplies/tools and feed/supplies for our pets. There may be some overlap of storage between the two areas, depending on our needs at any given time. /_ Z, , - a. a / Arthur B. Padilla Barbara A. St. John 11 ITS N K4/SER ENGINEERS W IN D ovJ E 7 V"\ CL w Joe o. SHEET OF ^� DESIGNED BY DATE CHECKED BY DATE F � T r ` O I •� © r �G4roS��T�1� r.. 0. 43RTµru (3 /.5 HOW Aa vvl+v✓ D2R�►J-� r p W/FA+Jcers C�RcuiTP EP LS C3oX l L S = _ 16#T SW lrc o PP = Wftrr::g P I P95 ( wrr 4 nm -D) E T- = roIL6T PAiNN o W DR = DRA-10 P i PE . Y z CL = GF_lLl►JE L���+T C3oX ' W14W= WATER FFEATr-R WIRING a J U ' J a v XWHER J o B No. 6;ARA 66 h R44 "ENG/NEER- SHEET 2 of 2— A 57-. JQ#A1 ZP PILL A DESIGNED BY - S -1,6 Z34ACk- BAR -r ROAD o OVILLEO (-,4, CHECKED BY (WOR K 5 HOP 57 e%v A 12e- e:7yL4o F�A± r 0 _4 oW#j 6A7P-46CE W9 7 1 -rO W*7XM hWO.MX C-2-050-77 v v ? U 'A /Z 6:Adel"r- POOR Z I DATE DATE 3l. 5L,647-1? IC PLU6 -, CDW13 Lr,-) Lc,,z S OV 1311p- x%- 103® G1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 0/- (12S:2 ASSESSOR PARCEL NUMBER 072-340-022 ZONING MR - BUILDING PERMIT OWNER BARBARA ST JOIN TELEPHONE 589-2272 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 516 BLACK BART RD., OROVILLE CA 95966 CONTRACTOR'S NAME OWNER NE TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESs 516 BLACK BAR RD. Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GAS PIPING FOR STOVE Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home IS I G W 920.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 600V UE Main Service 2o..OA LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooTO 46.00so NEW CONST. OWEWCU. NGOCCUP OR ADDNS. ( a ACC. BLDS. SO 3.5¢F. T. NON-REOSID. MULTI.OUTLET 97.50 POWER APPARATUS a SINGLE OUTLET CIR. �(, OCCU OUTLET OR FIXTURES 20 O I'00 BAL @ .w Ex. Occup.. ounEis RE�s4ID.OEA 1 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Data �G�-Q%7 Signature of Applicant - ner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= 1$ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PO I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code an or Resolutions to do work indicated a ove for which f s ve been paid. y Date PERMIT EXPIRES ON Date ReceiptNo. 324262 35.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. RP APPLICATION AND PERMIT E ASSESS MIT o. SSESSOR PARCEL NUMBER /� Za NO BUILDING PE OWNER RMIT owNETls MAwNG D T E ' SO. Fr. OCC. BUILDING VALUATION IIA Or - CONTRACTOR'S NAME% < CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCNRECT OR ENGINEER ARCWrECT OR ENGINEER'S MAILING ADDRESS LOT NO., I I SUBDMIS IONS NAME USEOFSTRUCTURE SF 13Duplex E3Mobilehome 0 ---Other SPECIFY TYPE OF WORK / New 13 Addition 13 Remodel ❑ Utilities (3IInstallation[3Other 0 Describe Work: (fiG1e 6i�wSl n/11 f ., Q1-, - *PERMIT FEE PAID SRA -- SHERIFF OTHER AMOVNT RECEIVED *RECEIPT NVMSER as ii a 12 * TO BE PVT INTO COMPVTER Fireplace Fling Fee 20.00 Main Service v� oa LEss Total Valuation S .00 23.00 Filina Fee 3 20.00 Permit Fee S @7.50 Plan Checking Fee $ A SINGLE OVTIET CIA. Energy Plan Checking Fee S 200 1.00 Ex. OCCU OR S 1 .OUMERFi4�6 PERMIT FEE $ 23.00 PLUMBING PERMIT Fling Fee 20.00 Each Trap Misc. Wiring 7.00 Solar or heat Pump water heater 23.00 23.00 Water piping PERMIT FEE 15.00 Each gas water heater or vent Fling Fee 20.00 15.00 Gas piping system 1 - 5 outlets Cooling 15.00 Z5 (Ld Building sewer 8.50 15.00 Mobile Home S G W @20.00 PERMIT FEE I $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service v� oa LEss .00 23.00 Main Service 200A TO iowA 48.00 NEW CONST. DWELLM OCCUP. OR ADDNS. 8 ACC. BLDS. so 3.5QR. N O MULTI -OUTLET NON•RES10. @7.50 POWER APPARATUS A SINGLE OVTIET CIA. Ex. Occup. OUTLET OR FIXTURES 200 1.00 Ex. OCCU OR BAL .50 1 .OUMERFi4�6 5.00 I Tem porary Service I 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE : MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 8.50 PERMIT FEE I t I Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr.TYPE TOTAL FEES _ od RAZ• U. FEES IMP FLOOD !;OF PARCEL PO J NO 6SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON +r. _-..�nn.r... .r.-,.. �s j.r ...- .. •�. .... wap .� � Y _i .. .. ,. . r r'072-340 022"PERMIT05=0606ADILLA,;�4Arthur16'.B1ad -Bart Rd Oroville ireplace Insert/SF ' . R � q 3 h r s 4 f i1 t 4 y COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT�ERVICES'-BUILDkNGbiVISION 0&0& 7 .County Center Drive - Oroville, California 95965 - Telephone (916) '538- 4i PERMIT NO. APPLICATION AND PERMIT " or - ASSESSOR PARCEL NUMBER ZONING B. LDING PERMIT ' OWNER I TELEPHONE SO. FT. 96C. BUILDING VALUATION OWNERS MAILING ADDRESS 516Q0ACT BART RD opnvTTjp, vsw -CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace O UC CONSTRION LENDER UNKNOWN Total Valuation ,$ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS " Permit Fee $35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 916 Ity-ACK BART RD ,, PERMITFEE $ 5 ?? LR PLUMBINGPERMIT Filing Fee 20.00 'Each Trap 7.00 IAT No. SUBDNISION'S NAME PARCEL^MAP Solar or heat pump water heater 23.00 U$EOFS�R CT'1RE''. `SF `\ I@ ❑ Mo- home ❑ Other f ` ( Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15. 04- Building sewer 15.00 ` A'— 7 T61 & W6 A K \ v _ % NewCl]-�'Addi ❑:' I1pmodd_Jb UAli es-dU.IIn�s+taallatdn,:O, Other O "bcribe VJ r •�-� 7 r C� �iF�'+�'•`�k .; Mobile Home ISI GI W @20.00 PERMITFEE _ Contractor ELECTRICAL PERMIT f Filing Fee 20.00. • Man Service a OV OR LESS iSoAORLESS ) 23.00 ( zo Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. - License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do.the work, and the structure is not intended or offered for sale. I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. r ❑ 1 am e�empt under Sec. Business and Professions Code for this reason ' N CONST. DWELLING OCCUR So. OR ADDNS. ( a ACC. BLDS. ) 3.5¢ FT. NEW CONST.MULTI-OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) b SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL 9 .50 FIXED Ex. Occup. (oF. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required -by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �P _ X ` i%c ,tf '�:���Date --_ 11 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 55.00 HA2. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/OI Resolutions to do work indicated above for which fees have been paid. BY 4,1vl .G' / Date h PERMITEXPIRESON 7/�( (Daie) Receipt No. 175652 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDIN GSION (,/I1f/ 01( 9 7 County Center Drive - Oroville, Ca*.I'orniay95965 - Telephone (916) PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 072-340-022 ZONING MR B WING PERMIT OWNER ARTHUR PADILLA TELEPHONE SO, FT, S(CC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS - 516 BLACK BART RD 0-ROVILTZ, 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace 0 1.500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAIUNG ADDRESS Fling Fee $ 20,00 ' Permit Fee $ 3 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .00 $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 516 BLACK BART RD PERMITFEE $ 55.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USE OF STRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other] Describe Work: FIREPLACE INSERT Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main ServiceEOOV oR LESS ( zooA 00 RR Less ) 23.00 Main Service ( 200A To 1000A ) 46.00 • LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. > I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BUDS. ) So, 3.50 FT, NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUSSINGL) 8 CIS. OUTLET R FIXTURES EX. Occup. (OUTLET OR FIXTURES ) 20 Q +.00 BAL .50 FIXED Ex. Occup. OUTLETS (RES D.)EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with thos rovisions. X VilI — Date 2 --:?0 — Signature of Applicant - ❑ caner ❑Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE FEE $ 55.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD SSUE This permit is hereby issued under the of the Butte County Code and/or indicate a ove for which es have I/Xi By PERMITEXPIRESON L I applicable provisions Resolutions to do work a paid. (� Dat z (Date) Receipt No. 175652 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OfBUTTE BUILDING DIVISION DEPARTMENT OF DEVEEOPMENT SERVICES -1469 Humboldt Road, Chim, Cy -M (916) 891-2751 7 County Center Drive, Oroville,tA-- (TA 6) 538-7541 747 Elliott -Road, Paradise,, CA - (b 16) 872-6307 CORRECTION. NOTICE L L.z 6-- --0 OWNE j PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the -above address an hrould be corrected. Please notify this office when correction of work m is completed. If ave any questions pertaining to this matter, or need additional explanation, please cont Xhis office immediately. 41 rA Date a:L3 — 2�spector REV 10/92 ry.. �._ �� n .. ,. .<Tti3'ri..}Tj��'�!M.�-Y'�•r..a.f'•e�:�Y �t �.r�A�7�'-f�...Z.-�',! 072-340-022 PERMIT#94-2460 PADILLA, Arthur &,ST..JOHN, Barbara 516 BLACK BART RD., OROVILLE -COMPLETE BP#79-6662(REPLACES #93-1686 UNDER JAMES MITTS) � it d5 , 0 COUNWOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DMS 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7 PERMIT No. APPLICATJON -AND PERMIT - g' -" �S& n ASSESSOR PARCEL NUMBER 072-340-022 ZONING BUILDING PERMIT OWNER ARTHUR PAD.ILIrA/BARBARA ST. =W JIJHId TELEPHONE 589_2272 SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 516 BLACK BART RD., OROVI= CA 95966 {i EST CONTRACTOR'SNAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTTRRU�]C,]TIION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 5• ARCHITECT ORENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 516 BLACK BART RD. OROVILLE PERMIT FEE $ • OU q•~":` PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF IJ Duplex ❑ Mobilehome ❑ Other iaARA E SHOP . SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W , @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ❑ Installation ❑ Other Describework: COMPLETION OF 79-6662 (REPLACES #93-1686) SEE PERrQTs UNDER JAMES MITTS r PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 OR Main Service ( 1v LE 200A OR LESS 23.00 j• Main Service ( 200A TO 1000A ) 46.00 NEW CONST.(DWELLING OCCUP. OR ADDNS. 6 ACC. OLDS. go, 3.5C FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS @7.50 CONTRACTORS LICENSE LAW . ' I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, land the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason ( POW ER APPARATUS ' 6 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES' 20 @ 1.00 BAL. 50 Ex. Occu FIXED APPLNS. OR Occup. ( OUTLETS IRESID.1 EA. ' 5.00 Temporary Service 23.00 Mobile Home Facilities 20,00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection•purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date fj,�—,7� —q !y Signature of Applicant - owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEES 35.00 HA2. I D. FEES I IMP I FLOOD I CDF PARCEL I PO HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated otve for which fees have tfe paid. 8/31/94 BY 37� Date 8/31/95 PERMIT EXPIRES ON (Dote) Receipt No. 1681 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK GOLD ENROD•APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS 7 County Center Drive - Oroville, Cafifo'rnia:95965 - Telephone (916) 538-7 PERMIT NO. APPLICATION�AND PERMIT 9� ASSESSOR PARCEL NUMBER 072-340-022 ZONING BUILDING PERMIT OWNER ARTHUR PADILLA/BARBARA ST. XNXN JOHN TELEPHONE 589-2272 SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS I 516 BLACK BART RD., OROVILLE CA 95966 EST 500 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Ener Plan Checking Energy g Fee $ Penalty $ BUILDING ADDRESS 516 BLACK BART RD., OROVILLE PERMIT FEE $ 35.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome O Other GARAGE/WORKSHOP SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00Mobile Home S G W @20.00 TYPE OF WORK ' New ❑ Addition 1:1Remodel ❑ Utilities ❑ Installation 1:1Other IX Describe Work: COMPLETION OF 79-6662 (REPLACES #93-1686) PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 SEE PERMITS UNDER JAMES MITTS OR LESS Main service ( OOAO'OVRLESS 1 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. BLDS. I g0, 3.5C FT. NEW CONST. MULTI -OUTLET -NON-RESID. I BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason ( POW ER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 SAL. .50 FIxED APPws. OR Ex. Occup. ( OUTLETS (RESID.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the g anting of this permit. X AV Date _Fjg—_3J•—g Signature of Applicant - O ner ❑ Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEES 35.00 HAZ- I D. FEES I IMP I FLOOD CDF PARCEL PD ND ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resol ions to do work indicated o e for which f s have a paid. By Date 8/31/94 PERMIT EXPIRES ON 8/31/95 !Date/ Receipt No. 1(�7h81 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico. CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "ownerbuilder" 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) Ie 2. I (have/have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name A/ A Address City .Phone Contractor's License No. 4.. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name . Aia Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Ownera 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 permitted to issue the permit: James & Lauren Mitts Oroville, CA 95966 Eatte Counfy BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 May 9, 1994 RE: Building Permit # 93-1686 Expiration Date: A.P. # X6/8%.Q 072-34-0-022 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. No' ixlspections have been made on permit work: Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records'are in error or should you have any questions concerning this matter, please contact the Oroville• office. Thank you for your prompt attention concerning this matter. Yours very truly, Michlael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT 1 -1 - Ile , . ASSESSOR PARCEL NUMBER 072-340-022 ZONING _ BUILDING PERMIT OWNER James &Lauren MItts TELEPHONE 589-2843 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS / 5Y6 --Black Ba-rt—td: ,—=x_ovs.11e 95965 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENS15-00 E NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FilingFee 15.00 516 Black Bart Rd. Oroville Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other GArage/Workshop SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G 1W I @ 15.00 TYPE OF WORK New ❑ Addition U Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Permit to Complete B.P. #6662-79 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200A TO I000A, 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 ;Jo. Classification I, as the owner, Or my employees with wages as their SOIe 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 OCCUR.&\ OR ADDNS. ACC. BLDGS. / _37.50 3.60 sq.ft. NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS (SINGLE OUTLET CI&R. Ex. Occup(OUTLETS OR FIXTURES 764 200 464 FIXED APPLES. OR Ex. DCCUp. OUTLETS (RESI D.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. i� I shall not employ any person in any manner so as to become subject y� 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 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte againstTOTAL all liabilities, judgments, costs, and expenses which may in any way accrue against I County in cons uencq of th anting of this permit. Date ignature of Applicant - Owner Contractor E] Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE FEE $ 30.00 HAz 1 0FEES 1. IMP I FLOOD I CDF PARCEL I PO HD ISSUE :. This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees f DI T LIC BY PERMIT EXPIRES applicable provi- resolutions to do have been paid. WORKS ate 143944 Receipt No. WHITE -O. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,., �w � �r �-.., ..iA.'i �'„-T_'tF' s1f+w.Fa a",{�Y. '{!tt"�"�fn-i7��r'F ry K�y�?. .�-"w<•;"+i1iFf���G11�..�'fi�"�r`^r.%itiiw;�Jw,-.i}�... .. ....i�.. ti :COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES - BUILDING DIVISION V11010, 7 COUNTY CENTER DRIVE - OROVILLE, CA LIFO,�RIIA 95965 -TELEPHONE (916) 538-7541 PERM j �q �y'd OWNER Proposed Building Usef�'/ APPLICATION DATA SHEET _ Date 3 M Building Inspector At time of per it 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 $....................................... . 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer ........... . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A), Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...PR !Aeon requ 20. Pre -inspection for 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. ............................ 33. .34. is 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 yl- �� Acreage Applica t 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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 'WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916 538-7541 APPLICATION"AND PERMIT ASSE OR PARCEL R ZONING -Z) .-'oa BUILDING PERMIT owN R� TELEPHONE SO. FT. OCC. BUILDING VALUATION OW M.ILIN ADDR€SS/�-O CO AC_ QR/S�N{U+J�-(/�� TELEPHONE CONTRACTT`/OARR''SS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ; (J ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING A D ss !' N Permit fee $ (J�Q PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ OtherlekIL12 F4 SP Cl FY as piping system 1 - 5 outlets 1 5.00 wilding sewer 15.00 Mobile Home 1SJGJWJ 615.00 TYPE OF WORK New., Addition -Remodel Utili ies ❑ Installation[- Other Describe work: �/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 - Main service 600V OR LESS 200A OR LESS 8.50 Main service 200A TO 1000A1 7.50 CONTRACTORS LICENSE LAW declare under penalt of erjur p 1 y (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. :Jo. ClassificationEx. jJ 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.&)sq.ft.I OR ADONS. ACC. BLOGS. //y $3.64 NEW CONSTR ULTI-OUTLETNON-RESID BRANCHCIRC ITS 5.00 /POWER APPARATUS 6 OUTLET CIR.License /ISINGLE OCcuptOUTLETS OR FIXTURES @ 76d FIXED APLNS. Ex. OCCUp. OUTLETS PIRESID IREA.� I 3.001. Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 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 15.00 Heating Cooling g J6.50 Hood Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way ccrue against said County in consequence of the granting of this permit. X Date $ignofure of Applicant — Owner ❑ Contractor El Agent ❑ I An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in h fight. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE 1 TOTAL FEE O HA2 0FEES IMP FLOOD C111PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt t No. WHITE-D.P.W.. YELLOW-ASSCSSOR, PINK"INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department.of Public Works 7.County Center Drive,v 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)' 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 PhoneContractors 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 Owner144. ;� Social Securit u ber - - / Date 6, -- �ZW `� 3 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 - witted to issue the permit. f �1 COUNT` v � TTE — DEPARTMENT OF PUBLIC WORKS a .4. 7 County Center Drive - Oroville, California 95965 ` 1> Telephone: 53,4-4541 APPLICATION AN PERMIT GUIIIUIILC 1VP1C=11t0tIVCS UI UIV lIUunly UI Culle tv enter upon the above-mentioned prop rty for inspection purposes. X Date ' ' $ig a ure of Peerrmitee or Age Receipt No. O 5 v� 5 White-D.P.W. o,A,055es5or - Pi odor - G dpi1 d licant This permit is hegv��but�nder the applt i�rovisions of the Butte Count o e a d or resolution t do wnrk icated abov r which fees have been paid. REC OF P LIC WDRKS/� B A Datei/— /-7� Building per it expires Da BUILDING Owner E [/ SO. FT OCC. BUILDING UATION Mailing Address �3 Z Iee�phoneGNo. Contractor Mailing Address r.•- Fireplace Total Valuation e Tlephone No. Permit Fee Building Address v Plan Checking Fee&/or Penalty"" Permit Fee n PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 eV Each Trap 1.50 , Repair drainage or vent. piping 1.50 A. P. No. Z — L( "7/?� e. oning &Planning Water piping 1.50 Sb Each gas water heater or vent 1.50 F(es�. (Sa Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans ec'd I Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ , 06 q10e ELECTRICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 3, OLS Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family* Duplex ❑ Mobil Home ❑ Others Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. AOD'L 100 AMP 1.00 NEW CONST.OR ADDNS. � ACCLBLOGS e ) 20 sq ft 2'2.10 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: y NEW RESID,CONSTBRANCLTI-OU L T NON-RESID BRANCH CIRCUITS)l J2.50ea NEW CONSTR. POWER APPARATUS a NON.RESI D. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES) B L@; Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 icense No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ f jam,% $ : %5 3 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so s to become subject to the Workmen's Compensation Laws of California. MECHANICAL NO.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ GUIIIUIILC 1VP1C=11t0tIVCS UI UIV lIUunly UI Culle tv enter upon the above-mentioned prop rty for inspection purposes. X Date ' ' $ig a ure of Peerrmitee or Age Receipt No. O 5 v� 5 White-D.P.W. o,A,055es5or - Pi odor - G dpi1 d licant This permit is hegv��but�nder the applt i�rovisions of the Butte Count o e a d or resolution t do wnrk icated abov r which fees have been paid. REC OF P LIC WDRKS/� B A Datei/— /-7� Building per it expires Da t i� COUNTY OF BUTTE 7,• BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 \, CORRECTION NOTICE OWNER �� PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at ` the above address and should be corrected. Please notify this office when correction of work' is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. J c:1'a%•"�;�'.I,r�s,�;TLir:9a.��,��-.;1�?�Stw�„wf�r.,a�. �-�:s. :s: -o,,.. .�.. :n5.«...,,+a-+3��.,'.:'-•a-i`. .+r. ...-..�:;-f-. is r� ryt iry .`� .k l.. .a+,.yas'!a;"-'. `i'Y;' X 072-340-022 PERMIT#94-2305 MITTS, JAMES 516 BLACK BART-R5.OROVILLE CONT: GEORGE SUMAHIT REPAIR.DECK/SF r 3 i V a , t 4� '71 � M •".'`r"fiaT�r Yt�t""fPb?�StRR?�QR"�E�f�l'�'f--.r _.,T.u�.+tt,,l�:; r,.,��..yxr.:.rM...,F..c...u.nroar.w"t-rr-..MrX'1i .^v+'Tf`o•,'t'��c. ���11 :i4�:`�F�}:<{fs'.k�`: COUNTY OF BUTTE- DEPARTMENT OF DEVELOSIMENT SERVICES - BUILDING., DIVISION o-W,C-ounty Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT t3 C -5 - ASSESSOR PARCEL NUMBER 072-340-02 ZONING BUILDING PERMIT r; OWNERF4 ,` 3 R' `S o TELEPHONE g0, FT, OCC. BUILDING VALUATION MS OWNER'S MAILING ADDRESS ?_ CRAMES CT, , ()ROVTIIU EST 50009 CONTRACTOR'S NAME 1 GEORGE SUMt UT 1 TELEPHONE i CONTRACTOR'S MAILING ADDRESS r� - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 •"Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. } plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ,. "�t,,: Energy Plan Checking Fee $ " Penalty $ BUILDING ADDRESS 51 R'f A(`Ti AT TZ tiT1TT T PERMIT FEE $ 9 � 00 _ PLUMBING RERMIT Filing Fee 20.00 Each Trap f 7.00 �.., Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME ' PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF a) Duplex ❑ Mobilehome ❑ Other ` SPECIFY r ME Gas piping system 1 - 5,outlets 15.00 Building sewer 15.00 Mobile Home S, .,G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O* (' �,1,` •► ; Describeyy�i� OP i-�"� v`}f \ ��v+ PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service80/101 LESS 2ODA OR LESS I 23.00 I Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ' ( 6 ACC. BLDS. ) g0, 3.5C FT, NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 _ r a CONTRACTORS LICENSE LAW 1 - I declare under penalty of perjury (check one) •�j I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. �6'' / Classification 5 ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors.'(Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason ( POW ER APPARATUS ) & SINGLE OUTLET CIR. i Ex. Occup. ( OUTLET OR FIXTURES ) L. @ 1.10 BAL. 60 , Ex. Occup.FIXED APPWS. OR (OUTLETS (RESID.) EA. I 5.00 • ,rr 0 Temporary Service 23.001. Mobile Home Facilities 20.00 _ Misc. Wiring 23.00 i, WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ' I have placed on file with the County of Butte Dept. of Development`Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permi will e r o e ,, J PERMIT FEE 3S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and sta that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of'Butte to enter upon the above mentioned property for inspection purposes. . . also agree to save, indemnify and keep harmless the County of Butte against all liabilities judg gents, costs, and expenses which may in any way accrue against said County I con Pquence ofJran�tin, of thi pe mit. i X . Date Cj 1_ Signatur of Applican Owner Contrac or ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or An construction of structures over 3 stories in height. _ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEES 92.00I HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. Cj By_- �"' V Date PERMIT EXPIRES ON ' lDetel Receipt lG� i4 0/ WHITE•D.D. .D.S.-B.D� CANARV-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - I COUNTY OF BUTTE - DEPARTMENT OrDEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 _ PERMIT NO. • APPLICATION_ AND PERMIT ASSESSOR PARCEL NUMBER 072-340-022 ZONING BUILDING PERMIT C ),77 OWNERa; I-ITTTS TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS EST 5000 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 79-00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS n + ORH PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF K) Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Ck Describe Work: p 5� �Q/)O� /` �L p Qf� P' PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 • Main ServiceBOO' OR LESS I 200A OR LESS 1 23.00 Main Service I 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I & ACC. BLOS. ) 3.50FTSp,, CONTRACTORS LICENSE LAW I de lare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force end effect. License No. Classification ] j ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) El am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIA. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .SO Ex. Occup. FIXED APPLNS. OR p' (OUTLETS IRESID.1 EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. i I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities dg ents, costs, and expenses which may in any way accrue against said County i con quence of t e ranting of thi pe it. 1 + X Date Cj 1-911 Signatu of Applica Owner . Contras or ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 92.00 HAZ. D. FEES IMP FLOOD cDF PARCEL PD HD I UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date? PERMIT EXPIRES ON (Dare Receipt WHITE-D.O. D.S.•a.D. CANARY -ABBE SOR PINK -INSPECTOR GOLDENROD -APPLICANT • CDUNTY F.!U,ITE - DEPARTMENT OF 15EVE060MENTSERVICES - BUILDING DIVISION �W .7 COUNTY CENTER DRIVE - OROVILL , CALIF6ROIA 95965 -TELEPHONE (916) 538-7541 - du PERMIT APPLICATION DATA SHEET OWNER A. P. No. Proposed Building Use Building 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 BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans.'... .................... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .................. . 6. Energy Design Compliance and supporting documentation . .................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. ,Engineered truss details and layout in duplicate (required prior to plan check).`,... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........'. . 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. ... .................. . 13.;, Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department. ............. 15. City of Chico plumbing permit. ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. Y 17. Planning approval for (A) Use:,,, i (B) Parking: . ......... 18. Contact Land Development.about (A)Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre inspection for y required. .. o ;;�d 9 owed - (Date) 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given t6 owner _ f , 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. ... t" ..' ............................... . '29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. ....................................................... 33. 34. When ys 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 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" W Date Sets of plans on hold in File cabinet AP folder - Copy - Department of Public Works ",� -....-.+.r � a. . r,-�'- ,xr� _, ...... r .... � �� r ,.,, ,. R. _ �vt.. y.. «�.� . . -�- .. r ...v' � *y..�• .Kr,.,,a,,,,, � ..v- ... .. Y Vin.. ""'_ �` a.4 r • .?ki-s.r..y.. r��s �rw �.•w'•.+'.+ .i t J w r/��y '� t .•✓`' r ° 72-340-022 - r t PERMIT#95-0605 •, Y `PAD Arthur' B'. -PAD [,,.516Black' Bart Rd'.., ''Oroville _. Woodstove/Workshop_ r 1. �3- 1 -79 u�J ^ d f rt • r z r t -� COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville, California 95965 - Telephone APPLICATION AND PERMIT BUILDING DIVISIO • &OS (916) 5,38 -754j -- PERMIT NO. > 7 " . 16it� ASSESSOR PARCEL NUMBER 072-340-022 ZONING MR' LDING PERMIT OWNER ARTfiUR B PADILL+� TEL IEP HONE SO, Fr, OCC. BUILDING VALUATION OWNERS MAWNO ADDRESS 516 BLACK BART RD OROVILLE, 95%6 CONTRACTOR'S NAME VAFMiLfP TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace , CONSTRUCTION LENDER UNMOWNNONE Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ . ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS -,•� Penalty $ BUILDINGADDRESS 516 BLACK BART RD PERMITFEE $ 55.00 OROVILLE 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other WORKSHOP SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other%m Describe Work: _ WOOD STOVE Mobile Home I S I G W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service e00V OR LESS ( 200. OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SO. OR ( a ACC. BLDS. ) 3.5¢ FT. CNS. NEW CONST. MULTI.OUTLET NON -RE 10. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 BAL .50 EX. Occup. (oFIXEEDrs PLNS. OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ ,1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ , Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �-- J' X _ / ,' _ ; . �.%lE:._-- Date .� ,, L- 1 5 Signature of Applicant - 11 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE I TOTAL FEE $ 55.00 HAZ. 1 D. FEES I IMP I FLOOD CDF PARCEL I PD HD ISSU This permit is,hereby issued under ttie applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have bean aid. ` P a / BY 0 /- Date.41 PERMITEXPIRESON ti f (Date) Receipt No. 17562 WHITE-D.D.S.-G.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI W &0S 7 County Center Drive - Oroville, Galiforniel 95965 - Telephone (916) 538-75 i PER No. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 072-340-022 ZONING MR ILDING PERMIT OWNER ARTHUR B PADILLA TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 516 BLACK BART RD OROVILLE, 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace I A 1,500.00 CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS t Filing Fee $ 20,00 Permit Fee $ 35.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ " ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 516 BLACK BART RD PERMITFEE $ 55.00 OROVILLE 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other WORKSHOP SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherYlA Describe Work: WOOD STOVE Mobile Home I S I GI W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service OOOV OR LESS ( z00A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. ) So. 3.5¢ FT. NEW CONST. MULTI -OUTLET NOW RESID. ( BRANCH CIRCUITS ) @7.50 ( POSINGLEWER APPARATOUTLETUS ) 8 CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 BASO @ 1.00 Ex. Occup. OUTLETS PLNS .j OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE ; Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with th a provisions. q XXI -- Date �r 3_0 r /� Signatu of pplican - -Owner ❑Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ I CONST. TYPE TOTAL FEE $ 55,00 HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ove for which f es have b n paid. By Date IV PERMITEXPIRESON c 5 �3/� (Date) —°T� Receipt No. 175652 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE ; BUILDING DIVISION . DEPARTMENT 00,13EVELOPMENT SERVICES 1469. Humboldt Road, Chico, CA.- (91.6) 891-2751 7 County Center 6live, Oroville, CA - (916) 538-7541 _. 747 Elliott,Road,, Paradise, CA --(916) 872-6307 CORRECTION NOTICE h OWNER PERM A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, N; please contact this office immediately. r Date Insp REV l92 a; /rr.11M 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[4 NO[ ]. 2. I HAVE[ V_r 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK PROPERTY OWNER: SOCIAL SECURITY NUMBER: — DATE: 2-3o -2s,- NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.- l Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sinc�rel Micha4l C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER a htte un LAiND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 March 13, 1995 Arthur Padilla and Barbara St. John 516 Black Bart Road Oroville, CA 95965 Re: Building Permit Status A.P. # 072-340-022 516 Black Bart Road Dear Mr. Padilla and Ms. St. John, Building permit 6662-79 to construct a new private garage and workshop was issued originally on November 11, 1980. To this date, the building has not had final inspection and is not finaled. I have enclosed copies of the correction notices which are some indication of activities on the project. As you can see, there were no inspections conducted between 1983 and 1993. Should -you have any questions concerning this matter, please contact Scott Rutherford- of this office at the address or phone number listed above. Sincerely, I Scott Rutherford Supervisor, Building Inspection Barbara A. St John Arthur 6. Padilla . 516 Black Bart Road Oroville; CA 9594 lo ci�- Ste - --. ,,. � . ., ... , t �. - f i f -- I . ,, ,.,. . i ci�. Si' 1'-t ��� � t y I 1 CI IU LD N DgPTfE JAN 19 1995 Ms. Anne Higby ERA Realty 475 A Oro Dam Blvd. Oroville, Ca. 95965 Dear Anne: October 10, 1994 This letter is in response to some inquiries made concerning the construction permits on the garage and guest house of our former house at 516 Black Bart Rd., Oroville,_ Ca. and a history of the events that led us to believe what we did about the permits. As you may recall when we were considering buying the property back in the fall of 1991 we too were concerned about the unfinished state of the garage and whether the work was up to current building codes and properly permitized. We then asked you to find out from the county the status of the permits on the building. As I recall you could not make it down to the county office building, so I decided to go down and inquire myself. When I arrived at the county building department I informed the woman behind the counter who I was and that we were considering the purchase of the property and would like to know the status of the permits on the work completed and in progress. The county worker then pulled the file on the property and informed me of the various permits completed for various projects and that the only permit required remaining on the garage remodel was the final finished inspection permit .to be performed when the project was fully complete, including plumbing and electrical fixtures and finished interior installed. We took her word since she was the expert in this area and agreed to acquire the remaining permit when the -time, for completing the project came around. The next time the issue of permits on the garage came up was last winter when the tree branch -fell on the power line and pump house. I recall the electrician came out and replaced the service box and reconnected the power lines but the work had to be inspected prior to turning the power back on. The county inspector, Bart, came out to inspect the electrical work done on the power line and wanted to inspect the remainder of the property because he did not think the work in the garage was permitized. I refused him access because that was not the reason he was there. He then threatened to not approve the electrical work just completed and would not allow the power to be restored unless I let him "inspect" what he wanted. Again I refused and the electrician persuaded him to do the job he was there for and approve the permit at hand, which he reluctantly did. This episode again raised the concern about the permits on the garage -remodel. Again I went back to the county building department and asked about the permits on the property informing the counter person what had happened with the inspector and of our concerns about the possible lack of permits. She again pulled the file and reached the same. conclusion that the only requirement left was to obtain the final inspection permit when the job was completed. This is when I did acquire the final inspection permit in order to keep .the job open on the county records, per the instructions of the county worker. The last time the issue was raised was when the property was for Pale and I believe Anne that we asked you to confirm the status of the permits with the county to verify what we were told. I recall that you agreed and did in fact contact the county building department and were told the same thing we were. I hope this letter clarifies the status of the property with the county as we understood it. If you need anything else please call. Sincerely, Lauren A. Mitts PERMIT NO. 2484-79B� p,r j. PERMIT EXPIRES OWNER STEVE SMALL CONTR. owner_ LOCATION (A.P. 72-34-22 ) 'SIS Black Bart,. 1.3 mi off Forbestown Rd.- t fi i' 9 r . y Temp. Power Pole Called PG&E Temp. Ele/4. Serv. CallePG&E /Vv97,_._ Temp/as Serv. t' Called PG&E r JOB 4 ` /FINALED � v (Date) i t (Signature) � r 41 -qq ` RES IDENT IAL c ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH'CURRENT ENERGY CONSERVATION REGULATIONS AT___2 �/9�YL` • /0aPc:�t>< (location) �n BU ILD ING PERMIT NO. Q Ll $ Lj— -7 % S r CA ; P . NO. ^% 3 ).;)L - THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: / Slab Edge. PA Single Glazed Al A- Fdn. Walls Special (Insulated) Floors CERT. & LABELED WDS. Walls & SLIDING DRS. V Ceiling/Roof_ WEATHERSTRIPPED DRS. Ducts �— BACK DAMPERED FANS L/ Circulating Pipes �^ INTERMITTENT IGNITION DEVICES APPROVED HEATER CERT. APPLIANCES APPROVED WTR. HTR. `" I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator NameJ�-l��- (Please pr' Signature of Insulation Applicator State Contractors License No. )y General Contractor/Owner Name (ple e ;prin.) Signature of / y Ue General Contractor/Ownerzi 1 Date State Contractors License No.� THIS CERT 1F KATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION f WITHIN -THE DWELLING. terS . + v ` RES IDENT IAL c ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH'CURRENT ENERGY CONSERVATION REGULATIONS AT___2 �/9�YL` • /0aPc:�t>< (location) �n BU ILD ING PERMIT NO. Q Ll $ Lj— -7 % S r CA ; P . NO. ^% 3 ).;)L - THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: / Slab Edge. PA Single Glazed Al A- Fdn. Walls Special (Insulated) Floors CERT. & LABELED WDS. Walls & SLIDING DRS. V Ceiling/Roof_ WEATHERSTRIPPED DRS. Ducts �— BACK DAMPERED FANS L/ Circulating Pipes �^ INTERMITTENT IGNITION DEVICES APPROVED HEATER CERT. APPLIANCES APPROVED WTR. HTR. `" I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator NameJ�-l��- (Please pr' Signature of Insulation Applicator State Contractors License No. )y General Contractor/Owner Name (ple e ;prin.) Signature of / y Ue General Contractor/Ownerzi 1 Date State Contractors License No.� THIS CERT 1F KATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION f WITHIN -THE DWELLING. 74, 114961 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS. BUILDING INSPECTION RECOR0 BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings A Windows / 3rd Floor Stemwal I Siding / 5 97 To out —7 Q r CLQ Slab Roof Sheathing Water Pi in —� Piers Roofing % Sewer Garage Fdn. Vents :1 Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters �-- Slab Carport Footings Prov. for phsically handica edy Conformance of ex. structure Appliances -� Gas PipingTest - Temp. Gas Slab Final , Sanitation Patio "FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h 30 Relnf. Steel Final Fixtures �--- Bond Beam FIRE SPRINKLERS Motors ------ Framing Test Water Htr. ' Stucco Final_ Subpanels Mesh ME IC Grd. Fault Prot. Scratch Heating I Service Brown Cooling Temp. Pole Finish Ducts 7" d Underground Interior Lath Ventilation Permanent Door Closer Final ,— Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOBIL EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 73,P DPW' A Ply'3 (NOTE: An entry must be made on this form each time you visit the job site.) 'COUNTY OE,-BUTJE — DEPARTMENT OF PUBLIC WORKS •• .. 7 County Center Drive - Oroville, California 95965 Telephone 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Z 7 Signature of Permitee or Agent Receipt No. 2�5 445' White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORAO% PUBLIC WORKS By �Date Building permit expires Date 3 % O BUILDING Owner5�7—�E �L SQ. FT. OCC. BUILDING VALUATION $ -7 Mailing Address �Q �?j O f� Telephone No. Contractor 00v ,v Mailing Address Fireplace OzT� Total Valuation q y Tlephone No. e Permit Fee Building Address .5 :5 CAC4 �� �) Plan Checking Fee&/or Penalty Permit Fee 1 2 1V7 r^ 6.pF e5 m,J (2p. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 • CZ Each Trap 1.50 (2. 01Z) Repair drainage or vent piping 1.50 A. P. NO.7 Z -3 Z Zoning &Planning Water piping 1.50 .SO y Each gas water heater or vent 1.50 FIS *--c. II&WUen I Fire Dept. Fire ne Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach I Declaration I Parcel ap 1 60' R/W I Improvement additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A royal Plan pprovaI Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER Permit Fee $ l •sd J"2 ELECTRICAL No. @ FEE 1 S, , PERMIT FILING FEE $3.00 1-3.,Oa 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family EL Duplex Mobil Home Others g y ❑ � Main service EA, ADD'L 100 AMP 2.50 N �`-`.� _'�/ R/—�`r/'/tv Main service OVER BOOV .25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. / DWELLING OC U OR ADDNS. C ACC. BLDGS` 20sgft .5,O CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. MULTI.OU L T NON.RESID BRANCH CIRCUITS) 12.50ea Ai r NEW CONSTR. (POWER APPARATUS d NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES B @,@j FIXED APP LNS. OR Ex. OCCup.(OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 5 b SD $ 17 fll MECHANICAL No. @ FEE - WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 _ Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ ' TOTAL PERMIT FEE 1$,-;22-0 1102 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Z 7 Signature of Permitee or Agent Receipt No. 2�5 445' White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORAO% PUBLIC WORKS By �Date Building permit expires Date 3 % O I NOVELTIES: WOOD SEASHELL BONE IMPERIAL GEMS and NOVELTIES JEWELRY: JADE P.O. BOX 432 * OROVILLE, CALIFORNIA 95965 MOTHER OF PEARL PHONE: (916) 534-1660 CORAL April :30, '1979 I. Steve E. Small understand and agree that .our mobile home located on 9470 Black: Bart Road -must be.:rmoyed out Q.�beTore the building department agrees for' our occupancy in our new home Ver Truly Yours, Steve E. Small Owner r OWNER RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX;, & MISC. ONLY) . Bldg. Permit # ��g — 7 A. P. # '7Z-39- zZ A. GENERAL Zoning requirements.(sid-yards and parking). Valuation... Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. Setbacks,•sideyards, easements, etc. ther buildings or structures.' Grading, fills, drainage. CFLOOR PLAN Complete to scale plan with dimensions. Required windows for 11ght_and ventilation (Sec. 1405). n�'�,Human equirfor second exit (Sec. 1404). lowable glazing for energy requirements (20% max. per,State law). impact glass (Sec. 5406) Required room sizes, ceiling heights (See. 1407), G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). .C'Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. , . 1_9_.�Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door.size, and closer (Sec. 503(d)(4)). 3'0" exterior exit door (Sec. 3303d). 5Fireplace location. -_.!_�_.Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS 1.94Foundation plan complete enough to construct building. +2.tjK Floor construction details.complete enough,to construct building. 3.Na Elevations and wall construction details complete enough to construct building. 4.t Roof construction details complete enough to construct building. t'.-p-.5...—Fireplace construction details and calcs if over one-story in height. �� ✓ Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR 1.4'ACCX plywood on exposed locations and overhangs. 2. -(&Stairway details (Sec. 3305). 3.rtA Guardrail details (Sec. 1716). V 0Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). 6.4.x Proper roof pitch for roof covering (Chapter 32). 7 &(4 Rafter ties or bearing ridge beam. 8.x4Garage door orporch header sizes. 9.NAAdequate bracing.. 101VA-Living area over garage - complete 1 -hour separation required including supporting walls. and posts, etc. 11.KA-Two (2) exits on three-story dwellings (Sec. 3302). Id r +S File No BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information J) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Transp. R/W Mapping Land Dev. Ref. Disp. Drng. / S. I. Sub. & Pcl. Maps Permits Steve Small P.O. Box 432 Oroville, CA. 95965. Dear Mr. Small: =AxT . '46 April 5, 1979 RE: Special Inspection #19.79 (AP 72-34-22) With reference to the above subject and your proposal to convert the storage building on your property at 9470 Black Bart Road into a dwelling, the requested inspection was made on April 3, 1979. The inspection revealed the following items which must be done or resolved if you proceed with the conversion: 9Y Provide light and ventilation to each habitable room by means of windows �equal to 1/10th the floor area, 1/2 of which must be openable. .✓ Provide an emergency exit for each bedroom by an exterior door or with windows with a sill height of not more than 48 inches, an area of not less than 5 sq.ft. openable with no dimension less than 22 inches. 3.✓ The minimum hallway width is 30 inches. 4. All electrical facilities must conform to code including the receptacle spacing and at least two,20-amp appliance circuits.in the kitchen and a ground fault circuit interruptor on the bathroom receptacles and on the one required exterior receptacle. 5. All plumbing and mechanical work must conform to code requirements. NOTE: Minimum plumbing vent sizes are as follows (total vent area must equal required building sewer size): a. Water closet = 2" . b. Tubs, showers, wash basins, kitchen sinks • 1V'. The fireplace unit must be installed per code requirements. 7 Verify compliance with State Residential Energy Requirements. aeMo Verify the existing sewage disposal system is adequate for proposed dwelling. 9. Prior to occupancy of the converted dwelling, the existing mobilehome must be relocated or discontinued as a living unit. (Please. submit a letter to this office to this effect at the time of the permit application.) It is now in order for you to apply for the required permits and pay the appropriate fees for this conversion. Please submit two (2) copies of floor plan, plot plans, and sufficient structural details for the proposed alterations or new construction.. .Y . Steve Small RE: Special Inspection #19-79 (AP 72-34.22) April 5, 1979 Page 2 Should you have any questions concerning this matter, please contact me. Yours very truly, Y Clay Castleberry Director of Public Works J.F. Glander JFG:dd Chief Building Inspector y BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS T SPECIAL INSPECTION REPORT Owner: 541 e S'.� utiL A. P. # 7 Address: "// 0 . "✓ -K Y 3 Z- , Date of Inspect Tenant: Inspec Building Location: 1E7 /sl �c r3 , f W Type of Inspection requested: 1. Housing / / 2. Financing 7[C 3. Change of Occupancy to 4. 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. 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• 114 2. Receptacles: j 3. Fusing: it-_ -- 4. Comments D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents:e, dtz L�f 4. Comments: (continued on back) N r 1 E. Other 1. Maintenance and -repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: f F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1: Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: T7 A. Information only - file. 7_1 B. Hold for ten (10) days, then write letter. C. Write letter. D. Other: ;�.. ..+ 5. � •ti ...r!'.. 'l j ♦ •wx . h, £ L.7 f �r - ' '` � _ .f .:�'. .4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 / ( _ "� Telephone: 534-4541 / APPLICATION FOR SPECIAL INSPECTION Owner A. P. No. 7c;? —5-11"';?-;� Mailing Address Telephone No. c�✓���� er Applicant Telephone No. Mailing Address ,o,.� / '/, Building Location 7�7�% /7L-�C/1 i� �i i�-�'' /S G► i�4k'1 � 600� I hereby request a special inspection of the following building: / / 1. Dwelling (if only a portion, specify) / / 2. Apartment House (if only a portion, specify) / / 3. Commercial (specify present occupancy) li<l 4. Other (specify) ':2: I am requesting a special inspection for the purpose of: / / 1. Moving the building. / / 2. Financing (specify agency) / 3. Change of occupancy to '�57 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 inspect5ntpurposes. /� q � Date f �'l��Ci'l�C.l�'C.. OMI 'Signature of Owner ` ' Fee paid $ ` y 1st -DPW - 2nd -Inspector - 3rd -Applicant Receipt No. [ 91� (� / U � V • ;�.. ..+ 5. � •ti ...r!'.. 'l j ♦ •wx . h, £ L.7 f �r - ' '` � _ .f .:�'. .4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 / ( _ "� Telephone: 534-4541 / APPLICATION FOR SPECIAL INSPECTION Owner A. P. No. 7c;? —5-11"';?-;� Mailing Address Telephone No. c�✓���� er Applicant Telephone No. Mailing Address ,o,.� / '/, Building Location 7�7�% /7L-�C/1 i� �i i�-�'' /S G► i�4k'1 � 600� I hereby request a special inspection of the following building: / / 1. Dwelling (if only a portion, specify) / / 2. Apartment House (if only a portion, specify) / / 3. Commercial (specify present occupancy) li<l 4. Other (specify) ':2: I am requesting a special inspection for the purpose of: / / 1. Moving the building. / / 2. Financing (specify agency) / 3. Change of occupancy to '�57 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 inspect5ntpurposes. /� q � Date f �'l��Ci'l�C.l�'C.. OMI 'Signature of Owner ` ' Fee paid $ ` y 1st -DPW - 2nd -Inspector - 3rd -Applicant Receipt No. [ 91� (� / COUNTY OF BUTTE — DEPARTMENT..O:F PUBLIC WORKS — BUILDING DIVISION ' 7 County Center Drive — 0rovi1le�'Ca•lifoarnia 95965 — Telephone: 534-4541 PERMIT APPLICATION DATA SHEET l'�. , �j.•�` _ Permit No. 1!' OWNER S/�-�v ��.�LL. A.P. No_. -7;�;7 Proposed Building Use i5,.,-ee—s-7—e01 v� Permit fee based upon: Complete Contract Price �—DPW Valuation %Other (explain) /") Building Inspector �'---� .�_-, Date <11 At time of permitViop'lication, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 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. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow) . .......................... ..................................................................... -15:---Pre-inspection for' or Lj?' r `}- i requ`Ired. +Pre-inspec. request to bldg.inspector (date) --� 16. Other �% When you issue the permit, process as follows. o SMail to owner r1 Mail to contractor. J Telephone and,hoId/forr pickup at office. Deliver w/inspection. Other .�j Applican# Date A/�%W4 Copy of plans sent Health Dept., Fire Dept., Other Date— During ateDuring 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: r (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other,' By Date Plans checked by ; , ( Date Plans approved by r" -t ` AD er-o OTHER: tric""p-M(]01b4V-3.1lQ8-?1>MOV'q'3USU9 i0i TVi,-3P0TRAq3C1-9TIMS '10Y'rMUO3 ^ - r^e;^pca vnoxvpar - nasae "i a 't; v F I : vo`n - m',o 15,o,3 /nuoo TzN.3fR ATAO 001TA31J91A TRAH11:74"I �9.A________-'_-______-_--_--_\-.��R0yV0 ' =^ � waLJ Qoib|iuZ3 bamoqo,,,q noil6u!aV Y'p'I{I____-no3 i,�tujqmo�:nnqu bt,;RSd �ef ���e9 moqerfli rjniWiu8 O3V0P,r:,'qA V|3 0' 3R5T/\O ' �e3nmunai .......... ........................ ............................... bqfimdu8nsedinoMnnn:ahUA '--------------'----. nionaqt:|q . ........ .... ............ ..... ........... -.etsn| kzobnianm.|oStsqnu)D -_-..... ........ .......................... ardeobnsxnsqba-mwn/gnyeTq1qrnoC) --------' eonsi|w-no] n0ie{] yg-1n1-t3 otiy/ona|9 --.---. pnno� ypnnO o]612 ---. -. .apnib{io8 3A & bair*H-nuk1 -ot1nain| To �nernete�� ------------- ---�----�--_--'-' ��mona� '---........ -.......... ...... ....... .... �no��sho/buuen��an��tu�ej�e- nxrY�ItsvVlqqsmo�a7inm� u�>(-,vo,,q4epninnsiq ____ __.eumanmcn�nu��uxn�qno���nsmnJ�nV�f�S�sotb�e� un)nobannoln{mmn*oijo)otnuM"no" bnaJ-11-�)etnnO,,bmliupg-|odyarnn�nm��vo)qnn/ eaa} a��oyV :)/)du9 �Iqe,d to nuisoe?snycnqm/e*aO '-.. ---~' �.(m��ed �*y-b�u b� of lei .4/ @� ^ `10tnalTnucof4100_�snvvoo1/�aKx-__�- �mwo}{ofmaeucocnq,!;nnneqerbumynedVV no�omqnni���nviiaO-__--_-- 'so\lfo�aqu-�okq'Iotbio/\bna�____________�____�____ymmdAe>nT---_-_ ` 0160 pr -Nos, SH Df <.n7ooio|:nio,nmduoUqqstog'nb-IsovndfibqAoadn1mnmnsoli b9liup6l-,o:i) .00eonet\evodel01livmeclxabn1 .� ydslsbbnlupenavodefba5vv(xonvvQ.1enQi29C},10sosi0000> O :8THTO PERMIT NO. 5896-77B + / PERMIT EXPIRES Y � OWNER Steve Small r CONTR. Northstate Alum., Chico LOCATION (A.P. 72-34-22 9470 Black Bart Rd., Oroville Temp. Power Pole Called PG&E _ Temp. Elec erv.. Call PG&E . Temp Gas Serv. _ alled PG&E _ JOB FINALED i�=�Zffim COUNTY OF BUTTE — DEPARTMENT'Ok PUBLIC WORKS BUILDING INSPECTIONAF.CORD BUILDING BUILDING (Cont'd) PLUMBING Setback y �,c`� Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof SheathingWater PI in Piers Roofing —�, — > Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. forph sically handica ed Conformance of ex. structure Appliances Gas Piping & Tes Temp. as Slab Final a.—. Sanitation Patio FIREPLACE Final ! Footings Masonry Walls Footing Throat ELEC RICAI Rou h kReinf. Steel Final Fixtures n ro Bond Beam FIRE SPRI LE RS Motors Framing Test Water Htr. Stucco Final Suboanels Brown A Cooling Tenip. Pole ' Finish Ducts Underground Interior Lath Ventilation Pennanent Door Closer Final Final MOBILEHOME UTILITIES ---------•---•---- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLAIIQN - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) r COUNTY OF -BUTTE — DEPARTMENT OF PUBLIC WORKS 9 7 County Center Drive – Uroville, California 95965 i Telephone: 534-4541 APPLICATION AND PERMIT /n above -me tione perty for inspectiop purposes. / !( Date//— X ZIP 7-W.— Permiit�tegqe or Agent ReceiWhite-Dlow-Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR UBLIC WORKS Rv — Date )1-3z--77 Building permit expires Date �� 3� " 7 op BUILDING Owner SQ. _F T. OCC. BUILDING VALUATION Mailing Address P w �y Telephone No. Fireplace Contractor Total Valuation Mailing Address 30,1– Permit Fee Plan CbackingFee&/or Penalty ;4��Y[,;A;on.�e o. , Permit Fee $ 1$ 11r Building Address PLUMBING No.1 @ I FEE PERMIT FILING FEE J$3.0011 Each Trap 1, Repair drainage or vent piping _1. 50 Water piping 1.50 Each gas water hea or vent 1.50 A. P. No. Zoning & Planning Gas pipings m 1 - 5 outlets 1.50 Each addrrional outlet .30 F Sa i n FireDept. FireZone Use Permit Building sewer 5.00 EQA PPlan rk—ing Declaration Parcel Map 6 R/W Improvements Lawn sprinkler system 2.00 Bldg. P s Re 'd Parcel Approval Plans Approvol Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.0 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 10 P 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVMain service 10 EA 80OR LESS 25.00 Main service ADD L loo AMP 1.00 • �.. Xd_-An�qN NEDWELLING OCCUP. & W 22sq ft OR ACOS. ( ACC. BLDGS. ) CONSTR MULTI -OUTLET ON,RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State ACalifornia Business & rofessions Code under the name sty of r Ex. Occup(OUTLETS OR FIXTURES) @� B LNS Ex. Occup. (OUTLETSIXED AP(RESID IRE 2.00 Temporary service 10.00 Mobile Home Faci I' s 15.00 License No 4_zqgf Classification Misc. Wiring,_ -*-6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which quires every employer to be insured against liability for Work s Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FE PERMIT FILING FEE $3 Heating Cooling Ventila Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ �Z above -me tione perty for inspectiop purposes. / !( Date//— X ZIP 7-W.— Permiit�tegqe or Agent ReceiWhite-Dlow-Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR UBLIC WORKS Rv — Date )1-3z--77 Building permit expires Date �� 3� " 7 op .5 1 L,161 6 if � 0 I �r , 3une �o �tN o ldgQ noo r ' ij • - 4i 4l .5 1 L,161 6 if � 0 I �r , 3une �o �tN o ldgQ noo r ' .5 1 L,161 6 if � 0 I �r , 3une �o �tN o ldgQ noo t COUNTY OF BUTTE — tDEF*ARTMENT OF PUBLICWORKS 7 County. Center DriV, G,roviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned ,ppropjeerrttyy for inspection purposes. //� /// X cyz( / Date �/ / /77 Signature of Permitee or Agent Receipt ' Receipt No. / h �y 0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have.been paid. DIRECTOR OF PUBLIC WORKS By Date J'"/ t/ « 77 -Building permit expires Date~_ 3 -IV -7F BUILDING Owner - SO. FT. OCC. BUILDING VALUATION Mailing Address G.j;L lib tC h4 v 1, 1244 - �t A� \ Telephone No. 644 — 1("" 0 Fireplace Contractor �U) Al 4: Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee' $ $ Building Address PLUMBING No. @ FEE `PERMIT FILING FEE $3.00 3,00 h ,( /L !� �. �//�% %%i / E' Each Trap ,Z 1.50 / _ � h / 6 /a ' i�S"A ri,AJ; ,�l% . Repair drainage or vent piping 1.50 Water piping 1.50 -A Each gas water heater or vent " 1.50 Z 2 �� �f A. P. No. .- 7 f— Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees'�W.C'ISan_i_ta_t_ion FireDept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg Plans Recd Par el Approval Plans,Appio o Permit Fee $ '%, S(% $ % i� NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER RELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5•00 Main service EA. ADD -L 100 AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family 0 Duplex ❑ Mobil Home ❑ Others Q Main service EA. ADD'L 100 AMP 1.00 ,Iw ^ On. IJ a fe UJA R V <,Ud L NEW CONST. DWELLING OCCUP. & OR ACDNS. ( ACC. 2¢sgft TI -OU NEW CONSTR MULTI.OUT LET NON.RESID. ( BRANCH CIRCUITS) 2.50ea - NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under -the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)50 @25a 109 FIXED APP LNS. OR Ex. Occup. (0UTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ' License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑ I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ '% SL authorize representatives of the County of Butte to enter upon the above-mentioned ,ppropjeerrttyy for inspection purposes. //� /// X cyz( / Date �/ / /77 Signature of Permitee or Agent Receipt ' Receipt No. / h �y 0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have.been paid. DIRECTOR OF PUBLIC WORKS By Date J'"/ t/ « 77 -Building permit expires Date~_ 3 -IV -7F 'CO NUNU T'7 OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orcli4lle, California 95965 /�y/ �'--Z7 Telephone: 534-4541 / APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -menti d property for Inspection purposes. X Date Signature of Permiitee or AgentReceipt No. 16 6 3V - White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees hav een paid. DIRECT R F PUBLIC WORKS BY Date /N— 77 euilding permit expires Date �—��% BUILDING Owner C C , SO. FT. OCC. BUILDING VALUATION Mailing Address ®ha &d v / Tel epho=eNo. � h IG (! Fireplace Contractor Total Valuation Mailing Address Permit Fee P I an Checki ng Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 3,00 Q & % Each Trap 1 1.50 *3, o _Repair G drainage or vent piping 1.50 Water piping 1.50 ,SQ Each gas water heater or vent 1.50 A. P. No. �, s `� ��.� Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F e Vt S on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Parcel Plans Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 B Plans Recd oP`rcel Approval Pla anal Permit Fee $ 5_0 $ Z NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1000 AMP ORV OR LE LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER s O 25.00 100 AMP OR LESS Single Family ® Duplex ❑ Mobil Home ❑ Others ® Main service EA. ADD'L 100 AMP 1.00 �fat LJ A-� UJ6IBJ1144 J2. NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. 20Sq ft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR(POWER APPARATUS & NON -RES ID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y Ex. Occup(OUTLETS OR FIXTURES) 50 BAL2� Ex. OCCU FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ,, I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ ' authorize representatives of the County of Butte to enter upon the above -menti d property for Inspection purposes. X Date Signature of Permiitee or AgentReceipt No. 16 6 3V - White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees hav een paid. DIRECT R F PUBLIC WORKS BY Date /N— 77 euilding permit expires Date �—��% MU T ., y� .,.i%• .. � p;'i �i �.�r.. v'vi7: +�'i•'i 'sdlt� r , ' sem e .��yn, .:.'.y ':.I".�l o kepa a" '�`� i Q7, �yi:,e �:;i��^cui �• :, co.. "� vtlze � M,;,r of Pub• hili l;il OTi ,�'ar:� t•.".�:e�i v'a •i �':'"�a Cay r': tic .5, Oounly of. Buji i NOTE:—All Materials El Wo Accordance vi` h Recognized, of a guc lify pm;c,°160 j f'or •th Uniform E uiidi�.g, Plu:'- ing- u the Nationdl Electrical Coale. e septic system dWMW to be as Butte County Heu;h No.' quirements. BUTTE COUNTY BUILDING DE?ARTMr-W APPROVED If. 'COUNTY OF BUTTE — .DEPARTMENT OF -PUBLIC WORKS 7 County Center Driv a - `Oyoville, California 95965 Te4hone: 533-1230, Ext. 259 APPLICATION AND PERMIT •••�••-� •�r•���.�.vco v� uic wU11Ly ui DUlle 10 enter upon life above-mentioned property for inspection purposes. G l % x .r L� pater Signature of P&rnitee or Agent V( f f i Receipt No.4�:i e--' White-D.P.W. - Pink -Inspector Goldenrod -Assessor - Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. c� DIRECTOR OF PUBLIC WORKS Date` '27— -7 Z- i -7 Building Permit Expires Date— BUILDING _ Owner'f- . , 'l�� l .� a OCC. BUILDING VALUATION MaiIing Addressesrepace FSQ.FT. Contractor Total Valuation Mailing Address j� Permit Fee Plan Checking Fee &/or Penalty Permit Fee Building Address -,,'�- J�� _ `� �,h� PLUMBING No. @ FEE _ - PERMIT FILING FEE $2.00'100 Each Trap 1.50 Repair drainage or vent piping 1.50 w •i i -, 0- i Water piping 1.50,1,1-0 Each gas water heater or vent 1.50 ; n _ A. P. No' �l _ 7_ %Q.,t��„ - -- Zoning..` Fire Zone Fire Dept. e-- Sanitation��;*-. 'Planning_", % Gas piping system 1 - 5 outlets 1.50 Each additional outlet 50 Building sewer 5.0a: UU Plans, `/ Fees_ ` W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee $, 0& -� / �` �'�•�_ / / r ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00.,00 it i r i Main service incl. 1 meter®Q Additional meters, each 1.00 r-� USE OF STRUCTURE Single Family ❑ Duplex E] Others' U Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1.00 19 / Oven, Cook -top or space heater 1.00 Light fixtures ba I fal 10 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump / 4/5_Ucj Misc. wiring OU License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee J$f 00 t $) co WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this r permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00Heating Cooling Ventilation Permit Fee $ $ I certifythat I have read this application and state that the above pp information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authnri— r r%roce n+;. __ -1 .�... n_.._...-1 .�_.._ ._ .. .. SnStrumentationtr q atnlon I $0.07/$1000 Evaluation TOTAL PERMIT FEE , - $J DU •••�••-� •�r•���.�.vco v� uic wU11Ly ui DUlle 10 enter upon life above-mentioned property for inspection purposes. G l % x .r L� pater Signature of P&rnitee or Agent V( f f i Receipt No.4�:i e--' White-D.P.W. - Pink -Inspector Goldenrod -Assessor - Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. c� DIRECTOR OF PUBLIC WORKS Date` '27— -7 Z- i -7 Building Permit Expires Date— Owner . d �Z/G Mailing Address i� Contractor Mailing Address COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR 7 County Center Drive Or%viIle, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT BUILDING SQ. FT. OCC. BUILDING VALUATION Building Address S/S 6,L�%iy Aa _ Gid ie -,?4- �' - G A. P. No. - 7 . *5 6�&T` Zoning i Fire Zone Fire Dept. Fees i-- I W. C. v I R/W Encroachment -69 v7NEW ❑ ADDITION ❑ OTHER ❑ Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent _ Gas piping system 1 - 5 outlets Each additional outlet o`'''' Building sewer Lawn sprinkler system USE OF STRUCTUj E . Single Family ❑ Duplex ❑ Others ❑ //a l-' / arm,/ - t CONTRACTORS LICENSE LAW . I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No, Classificat Permit Fee ELECTRICAL 1-ERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (morethonl2) Range, dryer or water heater Oven, Cook -top or space heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump S Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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- tioned o er fo in pecti purp Date Signature of Permitee or Agent Receipt No. lL cS White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant Cooling . Ventilation @ FEE $2.00 1.50 1.50 1.50 1.50 1.50 .50. 5.00 2.00 $.1dcc, @ FEE $3.00 aT_ Permit Fee $ $ State .Fee For $tryrg Motion $0,07/ 1000 Evaluation $ n;irumentation rogram $ TOTAL PERMIT FEE $ Ori This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F PUBLIC WORKS BY Date_`��-7� Building Permit Expires Date @ FEE 3.00 Od V 1.00 1.00 1.00 TR i 1.00 1.00 U ..lam' oG $.1dcc, @ FEE $3.00 aT_ Permit Fee $ $ State .Fee For $tryrg Motion $0,07/ 1000 Evaluation $ n;irumentation rogram $ TOTAL PERMIT FEE $ Ori This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F PUBLIC WORKS BY Date_`��-7� Building Permit Expires Date r _ " 'PERMIT NO. 4778-74B,E P E M ' T MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER Steve Small •-CONTR. L-OCATION (A.P. 72-34-22 6475 Black` -Bart Rd, (s/s Black BArt Rd, y 1.4 mi'. E. of Forbestown Rd, ) oroville t AS P2 8 3 77.15 o res y F .. � w 'e Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB _ FINALED — (Dat Q , 4:�27 Lvj 41�, (Signature) - ry ' r _ " 'PERMIT NO. 4778-74B,E P E M ' T MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER Steve Small •-CONTR. L-OCATION (A.P. 72-34-22 6475 Black` -Bart Rd, (s/s Black BArt Rd, y 1.4 mi'. E. of Forbestown Rd, ) oroville t AS P2 8 3 77.15 o res y F .. � w 'e Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB _ FINALED — (Dat Q , 4:�27 Lvj 41�, (Signature) - � 7 v' • R COUNTY OF BUTTE — DEPARTMENT�OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING: BUILDING (Cont'd) PLUMBING Setback -2 _ Forms Main Bldg. Footings StemwaI I Slab Piers Garage FootingsA Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer Firewall - Soil Piping Parapets 1st Floor Restroom Finish p ' 2nd Floor Windows 3rd Floor Siding ^ —7 To out Roof Sheathing S - �- �%j Water Piping Roofing �� y -- -7 Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final 101-1 Footing ELECTRICAL .Throat Rough - Z - Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. Heatin • Service Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final DATE REMARKS OR CORRECTIONS 01, T �rov.G• GSR -e f� OL(/� G / 0 y.� LO 41J OtcF 'Gt� ../ CIJUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 Tel ep orre: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X /�' Date !712Z/ Signature of�ermitee or Agent Receipt No. /����`� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. _ ` DIRECTOR OFRIUBLIC WORKS BY Date q` 2� " � uilding permit expires Date ............................................ BUILDING OwnerS�E�s SQ. FT. OCC. B�JILDING VALUATION Mailing Address©, iia j Telephone No. Fireplace Contractor �f ,�� Total -Valuation Mai I i ng Address Permit Fee '� p Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ ev $ 3 7a Buildin Address G% �`` /c,7 /c g c �i�� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 �f"d dpi G� Each Trap 1.50 Repair drainage or vent piping . 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. / r �c �Z �/ Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel60' Declaration Parcel M P R/W Im pro2ments Lawn sprinkler system 2.00 g. Plans Rec'd•3 Parc pproval P s Approval Permit Fee $ $ NEW ADDITION ® UTILITIES ❑ OTHER Oa ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,j,c 0 �L�IS ➢ !e'Y� fU 1 �£� ��Xq�P� �� Main service incl. 1 meter 4e • Additional meters, each 1.00 Single Family ❑ Duplex ❑+ Mobil Home ❑ Others Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal10 d 5 Re s., swig&es & fix outl �L4�� t3 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp: or. D -W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this ® permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California.' MECHANICAL No. FEE @ PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 57 TOTAL PERMIT FEE $ % y authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X /�' Date !712Z/ Signature of�ermitee or Agent Receipt No. /����`� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. _ ` DIRECTOR OFRIUBLIC WORKS BY Date q` 2� " � uilding permit expires Date ............................................ CLAIMANT: Acro -Lune J3utte OROVILLE, CALIFORNIA GENERAL CLAIM ADDRESS: 1737 Wyandotte Ave. CITY & STATE: Oroville, CA. 95965 IMPORTANT: February 8, 1978 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES 4w� DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner (Steve Small) had work done by another contractor. #5150-77D, Receipt #170002 AP 72-34-22) Building permit fee ----- $24.00 Retain 173 of fee ------- 5.00 AMOUNT,OF REFUND DUE •------------ $16.00 $16.00 TOTAL $16.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................ 1 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval F_� (Check one) for the same. th Datedthis ............... ............... day of. ..Feb. ............... 19...78.... at .......................Oroville....... Cellf..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM...............................................................................,............ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROJ SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. H INSTRUCTIONS -to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. 14 COYNT. F WBUTTE — DEPARTMENT OF PUBLIC WORKS 7 County'Center Drive - Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT aurtrunce repr"!bur"LIVes o1 ine Lounty of twtte to enter upon ine above-mentioned,gr�PrX V inspection purposes. X 2 v Date '3;or -7 Sri gnoture ermitee or Agent Receipt No. ®� Z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE -E}R OF�P LIC WORKS �}1 By Date V� Building permit expires Date zo— -;?—% 411111b— BUILDING Owner u SO. FT. OCC. BUILDING VALUATION � Mailing Address Telephone No. Fireplace Contractor .— Total Valuation Mai I i ng Address 1732 Ygvoa? je: U Permit Fee eu Plan Checki ng Fee &/or Penal ty L Telephone No. 3 Permit Fee $ ',Z .e, e/ 2 Ga Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Gy prjz=/ ) Each Trap 1.50 too 11_(_,c Repair drainage or vent piping 1.50 Water piping 1.50 3 z j B/r' J910 "^ kI.Ad /9 S Each gas water heater or vent 1.50 A. P. No —� ^ �� Zoning & tanning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 AIT Fees I W.C. S on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma 60' R/W P Improvements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Appr of Plans A oval Permit Fee $ $ NEW JK] ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100V OR 0 AMP OR 0LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service OVER 600V100 AMP OR LESS 25•�� Main service EA. ADD'L 100 AMP 1.00 / / e+x,. �' A �/ / L NEW CONST. DWELLING CCUP. & OR ADDNS. ACC. BLDGS. 20sgtt NEW CONITR. (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONST . POWER APPARATUS .&) NON.RESI R D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y Ex. Occup(OUTLETS OR FIXTURES) BAL@1 E x. OCCU FIXED APPLES. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No,22 % ��1�'% Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shalt not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE aurtrunce repr"!bur"LIVes o1 ine Lounty of twtte to enter upon ine above-mentioned,gr�PrX V inspection purposes. X 2 v Date '3;or -7 Sri gnoture ermitee or Agent Receipt No. ®� Z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE -E}R OF�P LIC WORKS �}1 By Date V� Building permit expires Date zo— -;?—% r: q ..•v ;. L.;f,!°`K-c�`.a?y...:y� *.�s'�`.s"•ir'`%r�i' a+°`-�.r'�{Y'i 'Pa3Ne.�S - +:� '�`Litt'Y�'1 �?.+R.C�'+.,r•.K:.,,r.- r%�J +Y -il J i.,"[l.v !'1�lFl, �'�''' Z•rT � ,� �r j 1 COUNTY OF BUTTE - DEP aT OF PUBLIC WORKS 7 County Center Drive - Orovii7le Cf 5965 - Telephone: 916.'538-7541 APPLICATION PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 072_ ZONING BUILDING PERMIT OWNER James R. ;Mitts Jr. TELEPHONE 589-2843 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 516 Black Hart Rd., Oroville 95966 CONTRACTOR'S NAME Sharp Electric TELEPHONE 533--5218 CONTRACTOR'S MAILING ADDRESS P.O. Box 1390 Oroville 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 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 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 516 Balck Bart Rd., Oroville Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE rT SF Q Duplex❑ Mobiiehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 615.00 TYPE OF WORK pp �I New". , Addition a Remodel ❑ Utilities LJ Installation❑ Other ❑ Describe work: Replace Main Service Due to Tree Damage Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 1 18.50 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury ur y (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Coe my license Is In fui for and effect. License .JO. G� Classification /V; I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUPM OR ADDNS, ( ACC. BLDGS. 3.6Qsq.ft. NEW CONSTR.ULT'-OUTLET NON•RESID BRANCH CIRCUITS 5.00 POWER APPARATUS (eSINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76th FIXED APLNS Ex. OCCup. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring I 15.00 15.00 Permit Fee $ 48.50 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 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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�aagg' to save, i demnify and keep harmless the County of Butte against all t(abilitie nts, costs, and expenses which may in any way accrue against o t; i consequence of the granting of this permit. X Date 'S Z 13 Si na re of Applicant – Owner g pp ❑ Contractor 9 Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ove tpr'ep in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $x•50 HAz DFEES IMP FLOOD cDF PARCEL PD HD 'ssuE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DBEC _B�..OF PUBLIC By 121' ^12�I , , , PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS j ate /... J Date?, `! Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Californja'�;965 - Telephone: 916.538-7541 APPLICATIN AND PERMIT ASSESSOR PARCEL NUMBER 072— _'�'' ZONING BUILDING PERMIT OWNER James R. Mitts Jr. TELEPHONE 589-2843 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 516 Black Bart Rd., Oroville 95966 CONTRACTOR'S NAME Sharp Electric TELEPHONE 533-5218 CONTRACTOR'S MAILING ADDRESS P.O. Box 1390 Oroville 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 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 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 516 RaIrk Rart Rd., Oroville Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP t Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [:k Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 015.00 TYPE OF WORK New ❑ Addition LJ Remodel ❑ Utilities 17 Installation❑ Other ❑ Describe work: Replace Main Service Due to Tree Damage Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service V OR SS 200A OR LESS 1 18.501 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1--t Igfc%'f I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Co e Ar4 my license is in ful),f rcq,and effect. License .40.� Classification �� (,J ❑ 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.& OR ADDNS, l ACC. SLOGS. 3.64sq.ft. NEW CONSTR ULT' -OUTLET NON -R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup( p�OUXED TS OR FIXTUROR ES zo T6d Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. 1Yirin g 1 15.00 15.00 Permit Fee $48.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation pernit Fee $ Contractor I certify that 1 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 u on the above-mentioned property for inspection purposes. I also ee to s ve, emnify and keep harmless the County of Butte against all rrabFlitie pnts, cost S, and expenses which may In any way accrue against Eo ty i consequence of the granting of this permit. Date `S Si na re of Applicant - Owner g pp ❑ 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 S Ener Inspection Fee $ 9Y P OCC CONST TYPE TOTAL FEES 48.50 HA2 DFEES IMP FLOOD CDF PAflCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees D ELIC By PERMIT EXPIRES ate applicable provi- resolutions to do have been p id. WORKS ate �Z f ; y 1 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 'NORKS 7 County Center Drive - Oroville, California °i5$s5-hTelepnone. 916 538-7541 APPLICATION -AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _ �j _(j 2 ZONI� G^ ;0 � ' BUILDING PERMIT 1 OWNERTELEPHONE y� S, -r I 1 � 589-� SO. FT. I OCC. BUILDING VALUATION OWNER'S MAI N ORESS 3 i At A, v ° 91S 9G COLT A�O 'S ME � �TELEPHONE/ CON7PTOR'S MAILIAODRESS 1, �tll-- Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 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 Sl p� �� T b• O a Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 Solar or heat pump water heater 20.00 " L'OT NO. SUBoi VISION NAME PARCEL MAP Water piping7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5:00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK Newer Addi[ionL Remode�,IL Utilitie Installation[,) Other Describe work: /� f►�� SI�►�y IC,� PLE 72 7A55 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 ' Main service 200A OR LESS 18.50 Main service 20CATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 17 1 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 NEW CONST. / DWELLING OCCUP.a1 OR AOONS. [ ACC. BLDGS. 3.6dsq.ft. NEW CO"'S T ST R. ULTI.OUTLET NON-F7ESID BRANCH CIRCU ITS @ 5.00 /POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 CW 7bd j FIXED Ex. Occup. OUTLETS PRESIO )LNSREA.� 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Q 1' Permit Fee Contractor $ , — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): f-1 The permit is -for $100.00 (valuation) or less. I--; I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If"after making this statement, should you become subject t0 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 15.00 Heating Cooling g Hood 6.50 I 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 Countyor Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Z $ignoture of Applicant — Owner C Contractor i Agent ❑ An OSHA ion of structures over 3 stones olnehe ght ions over 5'0" deep and demolition Dr construct- Mobile Home Installation Fee $ Energy Inspection Fee $ occ I CONST TYPE / .0•S� :TOTAL FEE $ i !nA2 1 0FEESI IMP I FLOOD COF PARCEL I PO Flo I ISSUE P I This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC ey PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. T[LLOW-ASe[33R. PINK -INSPECTOR. GOLDENROD -APPLICANT r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION: NOTICE: r. BUILDING OR PROPERTY ADDRESS A� routine inspection indicates that the following violations of County Ordinance exist at the above address -and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional. explanation, please• contact this office Immediately. • i Inspectorrtlf Date _-#r COUNTYOF BUTTE - DEPARTMENTOFDEVELIDPMENT SERVICES - BUILDI 7COUNTYCENTER DRIVE - OROVILLE, CALIFORWIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER / /,T cS A. P. �3`� a Proposed Building Use L �i �-���/l(fJ��Building Inspector Date S At time of perpKpplication, 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 $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. os�ia�y nspeato� (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 . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. rver with inspector. Other Parcel Creation t S !Z Q 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 PERMI?� NO. 394-80B PERMIT EXPIRES OWNER Steve Small CONTR. owner 72-34-22 LOCATION (A.P. ) S/S Black Bart Rd , 1.3 mi.otf Forbestown Rd . , . Orovil le 'P fif I` i r 'P i r a i Temp. Power Pole Called PG&E Tremp. Elec. Serv. f i� Called PG&E Temp. Gas Serv. Temp. Called PG&E JOB (Date) C ) (Signature) t COUNTY OF BUTTE — DEPARTMEN-F, OF PUBLIC WORKS BUILDING INSPECION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback - ` Ste— Firewall Sol[ Piping Forms Parapets i 1st Floor Main Bldg. • Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall - Sidina To out Slab Roof Sheathin Water Piping Piers Roofing Sewer Garage Y Fdn. Vents Fixtures Footings _ Stemwa l l Garage Vents Insulation Water Htr. , Heaters j Slab Carport Footings Prov. for physically handicap ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab j Final `' Sanitation Patio 6- O FIREPLACE Final Footin s Footing ECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing -- Test Water Htr. Stucco Final lInsSub panels Mesh MECAANICRIS, Gird. Fault Pr t. Scratch Heating Service Brown j Cooling Temp. P I Finish Ducts Undergridnd Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------- ---------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping O13I6EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) M CBUNTY F Vl;JTE 1- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Ori�ville, California 95965 Telephd`ie: 534-4541 • V APPLICATION AND PERMIT AA' / authorize representatives of the county or Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permipe,�Agent Receipt No.�� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date Date So ding permit expires Date �' 3c, '� BUILDING Owner S 7 �'/(/%/� SQ. FT. OCC. BUILDING VALUATION 0o p0 Mailing Address 0 g oX j /� �P. 090V ! LLA5_ 96;_V6,5 2//,, n J 1!/ Contractor Mai ling Address Fireplace oe Total Valuation .O O©d Telephone No. Permit Fee Building Address S �L44-41— lJ10 1�1i Planng Fee&/or Penalty Permit ee t Fee PLUMBING No. @ FEE D PERMIT FILING FEE $3.00 Each Traa 1.50 OR G /(.'V Repair drainage or vent piping 1.50 '7 A. P. No. Z--� — (�� //��,�. Zonin"g"8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fs W. ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' /W Improvements Each additional outlet .30 Building sewer 5.00 B`dg• P s RecdParcel AEEroval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION �� UTILITIES ❑ OTHER ❑ Permit Fee $ $ �f Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS loo AMP LESS 5.00 SinSingle Family 9 --_-Duplex Mobil Home 9 Y LK P ❑ ❑ Others ❑ -L Main service E4. ADDloo AMP 2.50 Main service OVER s 25.00 100 AMP O OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. \ ACCLBL DWELLING VP. 41 20 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: NEW CONSTRES'D, -CUTLET NON -REBID BRANCH CIRCUITS) 2.50ea NEW CON STR POWER APPARATUS d NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES 5 L25 Ex. OCCU FIXED APPLNS. OR Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. SAI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner O as to become subject to the Workmen's Compensation Laws of California. MECHANICAL N0.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTALPERMIT FEE $ DO authorize representatives of the county or Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permipe,�Agent Receipt No.�� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date Date So ding permit expires Date �' 3c, '� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, - Oroville, California 95965 Telephone: 534-4541 - '"APPLICATION AND PERMIT / Owner -5`E(/F Mailing Address Pa Contractor Mai I i ng Address Building Address (0- DED D©EO t,/ I S/5 3i.14cK_8AJ2 Fo 0135 I o ,64 2 1 k VA Telephone 63q— g Telephone No. A. P. No. ,;Z 4 Zoning & Planning W/es S o Fire Dept. Fire Zone Use Permit EQA IParking Parcel Parcel Ma 60' R/W Im Plans Declaration P prov ents it- g. Plans Recd Parcel provol Plan Approval NEW JK ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home & Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification V XJ I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 -menti o ed property for inspection purposes. X Date 1111917V —signatureofPe mite, or 7gent Receipt No. /�(% White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING SQ. FT. I OCC. BUILDING VALUATION c30 O J Fireplace $ Total Valuation No.1 @ Permit Fee 1 $3.00 Plan Checking Fee &/or Penalty Permit Fee $ PLUMBING No. @ PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No.1 @ PERMIT FILING FEE 1 $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bol R s., swAines & fix tlets 2u I (dlo Hood, Ex. Fa4 or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Misc. wiring Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Cool i Ventilation Hood 2.00 Permit Fee $ FEE FEE FEE $ 7.25' TOTAL PERMIT FEE $ 5 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI CTOR PUBLIC WORK/jS�'���'J(�i BY Date Building permit expires Date.............1t'��....."-� COUNTY OF BUTTE — 'DEPARTMENT OF PUBLIC WORKS �� —% 7 County Center Drive - . Oroville, California 95965 Tel ephohe: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. y XBaz�lt�t L ADate 6--,2 7- 7S_ ignoture of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fe have been paid. ECTO F PUBLIC WORKS BY Dater !!i_ --V_1' 7 Big permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address o r X Z. Telephone No. Fireplace Contractor '/ Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee l ` Building Address y��j �/ d PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3 Z_ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees &W"WQw Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Recd I. I Parcel Approval I Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER © ELECTRICAL No.1 @ FEE PERMIT FI LING FEE 3.00 ov _ Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Q Sub -panel (12 or less) (more than 12) Ranqe, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures l b a2 3�c7 Reams., switgAes & fix oyq?.ts zbal 30 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 icense No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. p I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. y XBaz�lt�t L ADate 6--,2 7- 7S_ ignoture of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fe have been paid. ECTO F PUBLIC WORKS BY Dater !!i_ --V_1' 7 Big permit expires Date 0 w ` Steve Small P.O. Box 432 Oroville, CA. 95965 Dear Mr. Small: March 8, 1977 RE: Electrical Permit Application #966-77 (AP 72-34-22) With reference to'the above subject and the.application you made on March 1, 1977, to install an additional electric service for a future connection to a dwelling and well on your property -,on the Black Bart Road, this office is unable to issue this permit. At the present time, you have a mobilehome and a storage building on this property, The area is zoned "M -R" which does not permit more than one (1) (living unit on the property and does not permit any commercial uses. If you propose the new electric service for the storage building and intend to con- vert it to a living unit, we would need the proposed plans and would have to issue permits for the conversion. We would also need a letter of intent from you to remove the mobilehome living unit when the dwelling is completed. If you 'propose any commercial use of the storage building, you would need Planning Department approval of the use and then permits from us for the conversion. If you have any questions concerning this matter, I would be happy to discuss your proposed plans -with you, together with the applicable county,laws, in an attempt to resolve these problems to least inconvenience you. Yours very truly, Clay Castleberry Director of Public Works J.P. Glandes JFG:dd Assistant Director 3-7 ? 7 /"mac i t �•��,-u� rl.. Ce .f .. 4C,/ /Je C [i1ir► /✓hay./:� .tet (, .,L� �"S3 „-r ,ice-....�= i- nom_ COUNTY OF BUTTE DEPARTMEt4T OF PUBLIC WORKS 7 County CenteCOrive` - Urc/,ille,,'Calitorr,ia 95965 Telephone: 534-4541 APPLICATION AND PERMIT auuwr:ce reNrCsentauvea UI the L,Uunry UI Dune LU enter UPUII ule above -menti ned property for inspection purposes. ' i/ 7-2 X ' 6- � Dat ign.1 , of tee or Agent ' i Receipt No. -- White-D.P.W - Yellow -Assessor -- Pin4-Inspector - Goldenrod-Applicont This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING _ Owner f S/>I�IC �/ - SO.- F1'. OCC. --- --- BUILDING VALUATION -- — i Mailing Address Telephone N Contractor f Fireplace Total Valuation Mailing Address Permit Fee - Plan Checking Fee Vor Penalty • Telephone No. Permit Fee Buil= nc Address �`�C�/ �� �� < PLUMBING No. @FEE PERMIT FILING FEE .$3.00 / z / ��,� SQ�j '/�f�-{fG�/�1/' Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or -vent 1.50 A. P. No, 7-2-3v- WZoning &Planning Gas piping system 1 ; 5 outlets 1.5U Each additional outlet .30 pigs'l W&/1 Ser)&tion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans I Declaration I Parcel Map 60' R/W Improvements RIA 9 PI-AG$ae'd Parcel Approval Plans Approvoi Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑, OTHER XI ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 O ✓�i� /- ' C ' �; main service 600V OR LESS 5.00 100 AMP OR. LESS / Q /d/[�/fC�/(,� C�'4�//L'ft/i/s✓ lam= elWF'1/4.11 l �' Main service EA. ADD'L tOJ AMP 2.50 aE Mservice -Main serviOVER EOOv 25.00 100 AMP OR LESS Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ _ Main service EA. ADD -L too AMP 1.00 ORV'ADONST ( ACCLSLOGS.CCVP. &) 'L¢Sgft ' NE'i! CONSTR (MULTI.OU LET ) NON•RESi C. l BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS & NON•RESI D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the50 State of California Business & Professions Code under the name style of: @ 25: Ex. Occup(OUTLETS OR FIXTURES)/ SAL0 Er. FIXED ANS Ex. Occup.(OUTLETSP(RESID )REA) 2.00ztZZI Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , $ MECHANICAL No. @ I FEE WORkMEN'.S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be. insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE J$3.00 Heating . Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ auuwr:ce reNrCsentauvea UI the L,Uunry UI Dune LU enter UPUII ule above -menti ned property for inspection purposes. ' i/ 7-2 X ' 6- � Dat ign.1 , of tee or Agent ' i Receipt No. -- White-D.P.W - Yellow -Assessor -- Pin4-Inspector - Goldenrod-Applicont This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date /2, To @0u4, A ycfb 1 70 AVA ,4 �P�/ GA7`/ocid i o Coil 7' � �.r 4V F C'ocid A u77V. ,7, EE Ci�1-146X.. OwNr& ro,o , i4 z-0,- 4 L je tlS.-€ /it/ A C &C/' �7 o p,6/ 7/49xv I/ gAs Pe9A4/,eF--D AKIRE A It our YJ :� iz� Di,Setrss WIT/?' C t -BOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS / 7 County Center Drive — UroviIle, California 95965 �j /,.,� Telephone. 534-4541 A-PPUCATION AND PERMIT autnorize representatives of the County of Butte to enter upon the above -menti ned property for inspection purposes. X Dat I /7 ignature of ee or Agent Receipt No. A66 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By DIRECTOR OF PUBLIC WORKS White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address e U&, G Telephone N9� Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address / v PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 <'e/a el-- �6 p�/� Each Trap 1.50 e�P,10_Al Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N fW''Zoning � t & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 pt'sl W/1 sm&tion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Rug._PLn44Ree'd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 CL e-0 Main service 600V 01 L 100 AMP ORSLESS 5.00 5—,60 Ce Main service EA. ADD -L. 100 AMP 2.50 (J Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. OR ADONST ( ACCLBLDGS.DWELING CCUP. &) 20sgft NEW CONST R. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) '2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y Ex. Occup(OUTLETS OR FIXTURES),/ gAL@1 Ex. Occu FIXED APP LNS. OR P'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ i WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ autnorize representatives of the County of Butte to enter upon the above -menti ned property for inspection purposes. X Dat I /7 ignature of ee or Agent Receipt No. A66 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By DIRECTOR OF PUBLIC WORKS White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date Date DATE -TIME ESTIMATED DAMAGE BY -T-TI DAMAGE REPORT FOR INITIAL ASSESSMENT 'FLOOD JANUARY 1995 Name Reporting Party Address/Location 6) Telephone Number 5 95 ,.City PUBLIC INFORMATION OFFICER 538-6953 Type of Damage uK (Note: Emergencies Refer to 911) Building Description [ ] Commercial/Usage [ ) Residential Type and # Units [ A— Currently Occupied/Use [ ] Abandoned/Vacant County .M. Electric Any electrical submerged Yes ( ) No [ ] QN( ) QFF( Obvious damage (failure, downed wires, arcing) Gas Natural/Propane Obvious problems (odor, leaks, leaks, propane tank floating/submerged) On[ ) Off[ ) Structure On/Off Foundation Flooding above/below floor Obvious leaning, tilting Severe Damage/Collapse Debris Hazard 1 s_ Sanitation - Plumbing wo[king. Running water Well Flooded Obvious Sewage Problems Chemical/Fuel Wet, flooded, lost chemicals Type pesticide, fertilizer, other chemicals Amount Fuel tanks (above or below ground) Obvious hazards Agriculture Loss Crop Damage _ Livestock Lost _ Building Damage Roads (Public) Road Name Obvious Damage/Hazards Location/Landmarks Traversable (Sedan, 4 wheel) Involved Utilities (downed wires) Levees Public [ I Private [ Waterway Name Location of damage/problem Obvious hazards Nearest Landmarks Overflow/freeboard Copies: ( I OES ( I Agriculture ( I Health ( l Fire ( I Building ( 1 Sheriff