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a'c?• paid 630 aop� ci�- )� 2133 -gd PERMIT NO. 858-79B,;P, E �iAll 'r PERMIT EXPIRES OWNER M. E S pars r CONTR. A & C Plumbing. Oroville LOCATION (A.P. 36-291-21 ) 6314 Lincoln Blvd., le �J a �t' .1 o k G� Tem P w Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. t Called PG&E s JOB v / Will FINALED ( te) (Signature) A y�1 A na MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping BILEHOME 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.) COUNTY OF BUTTE — DEPARTMEN!�QI PUBLIC BUILDING INSPECT4ON RECORD WORKS 4 BUILDING BUILDING-(Cont'd) PLUMBING Setback Firewall '• Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall SidingTo out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall) Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final. Sanitation Patio FIREPLACE Final Footings; FootingELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Sub aneis Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent -Door Closer Final FI I na MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping BILEHOME 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.) 14ach 2•o '1953 A.&,C Plumbing Co. RE: Building Permit 0858»79 6114 iincoln Blvd. Expired 4-6.80 OrdVi lto;CA, : 95965. Al' 036-201-21. Crentlemen q, 1 With..taference', to the above 0ubject, a p4vmit was, issued for an awning and a pore to enclose a washer and dryer at the M l: Sparke mobilehoma. On Sept Ember 290 1951 a letter was sent tO YOu tdgUOstIh8 that you renew the permit. Also, site delivered notices hove been left. i Umbers and dryers exposed to the weather oonstltute a potential hazard aced theretofte are tcquired' to .be totally enclosedd 193aice permits ond.,41.3pectitans axe required. by both' State .ate County .tawa and since tine above ©�pl3ancQa pare requ1— ro, to. -be enclo®edf unless you renew the Permit to a current stacua within -tea days and Oncloae these oppliance with final lnvpectlon Within thirty days oi£ the date of this letters the matter 41W,'be teferiei d to the proper authoritS.es for appropriate ectiSotl: Should you have any questiOnO coacerndng this ratter, please contact this office, Yours very truly; C14y Castleberry Director of Public WO*0 0i9ina*VsignedA* I F..Glander 37: Flander JPGaaJ Chief Building inspector !CC: l jI iXdldg jns�ectox'• « .4arovit , Cone tors State i:3cems� Bo5std, 429 Redc lff :Drives Suite 1401, Redding$ CA r 4 i 14ach 2•o '1953 A.&,C Plumbing Co. RE: Building Permit 0858»79 6114 iincoln Blvd. Expired 4-6.80 OrdVi lto;CA, : 95965. Al' 036-201-21. Crentlemen q, 1 With..taference', to the above 0ubject, a p4vmit was, issued for an awning and a pore to enclose a washer and dryer at the M l: Sparke mobilehoma. On Sept Ember 290 1951 a letter was sent tO YOu tdgUOstIh8 that you renew the permit. Also, site delivered notices hove been left. i Umbers and dryers exposed to the weather oonstltute a potential hazard aced theretofte are tcquired' to .be totally enclosedd 193aice permits ond.,41.3pectitans axe required. by both' State .ate County .tawa and since tine above ©�pl3ancQa pare requ1— ro, to. -be enclo®edf unless you renew the Permit to a current stacua within -tea days and Oncloae these oppliance with final lnvpectlon Within thirty days oi£ the date of this letters the matter 41W,'be teferiei d to the proper authoritS.es for appropriate ectiSotl: Should you have any questiOnO coacerndng this ratter, please contact this office, Yours very truly; C14y Castleberry Director of Public WO*0 0i9ina*VsignedA* I F..Glander 37: Flander JPGaaJ Chief Building inspector !CC: l jI iXdldg jns�ectox'• « .4arovit , Cone tors State i:3cems� Bo5std, 429 Redc lff :Drives Suite 1401, Redding$ CA f COUNTY OF BUTTE —y T)E''P0TMENT OF PUBLIC WORKS .f' 7 County Center Dr -We Jro4lle, California 95965 Telephone; 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned Pfoperty for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X Y Date 2?"- "/l DIRECTO"F PUBLIC WORKS Signature of Permitee or Agent 6 9,> (C7 By Date �—G � 7 Receipt No. Z0/ q 0 l % —6� White-D.P.W. — Yellow -Assessor — Pink -Inspector — of e e�a�d�lic k tvt ,)wilding permit expires Date Q V BUILDING Owner. - --' t IS v- k - SQ. FT. OCC. BUILDING VALUATION Mailing AddressJ gf, Telephone No. l� Contractor 144-C, P1UkV%AJV%4 Mailing Address u / I U /y Fireplace Total Valuation y� g Telephone No. 5-33-17177 Permit Fee j .�- C 1 Building Address C� Plan Checking Fee&/or Penalty Permit Fee — -� PFEE PLUMBING No. @PERMIT FILING FEE $3.00Each Trap 1.500 yo -0 Repair drainage or vent piping 1.50 A. P. No. �b + ;L � Iq d e Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe W f. on Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration I Parcel Map 1 60' R/W I Improvempnts Each additional outlet .30 f, Building sewer 5.00 Bldg. Plan Recd Parcel Approval Plan pprovol Lawn sprinkler system 2.00 NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ✓ $ .� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3. off Sin Single Family Duplex Mobil Home Others 9 Y ❑ P ❑ ❑ Main service 600V OR LESS 100 AMP LESS 5.00 -L Main service EA. ADD100 AMP 2.50 'I Main service OVER 600V 25.00 100 AMP OR LESS OL (s �„ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. h OR ADDNS. ( ACC. BLDGS. 20sq ft CONTACTORS 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 4-"^ (/jd_" ial�" 006 NEW CONSTRES,., MULTI -OUTLET 1 NON -REBID BRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIPES s L Ex. up.OUTLETS FIXED TS (REAPPLNS. OR OUTLETS SID.) EA) 2•00 Temporary service 10.00 ��I. � Mobile Home Facilities 15.00 License No.�kJ 023�3 Classificatione_3(P Misc. Wiring 6.25 , Z ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ t 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 N0.1 FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ r $ 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 PERMFEE `"IT $ 2� d26 authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned Pfoperty for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X Y Date 2?"- "/l DIRECTO"F PUBLIC WORKS Signature of Permitee or Agent 6 9,> (C7 By Date �—G � 7 Receipt No. Z0/ q 0 l % —6� White-D.P.W. — Yellow -Assessor — Pink -Inspector — of e e�a�d�lic k tvt ,)wilding permit expires Date Q V Owner: Address: Tenant: Building BIM E C0UVTYq.EajTf ,rj OF REPORT' WORKS SPECIAL REPORT A. P. # Date of Inspection — Inspector Type of Inspection requested: I. Housing 2. Financing f.L 3. Change of Occupancy to �-Other (specify)-- AA T Preseut use: cf building A. Sanitation 1. Vater closet: 2. Lavatonj Bathtab or shower. 4. Kitchen sink: 5. Hot and, cold vater to fixtures: 7, Natural light and ventilation: 8. �Room and spac*P requ-irements: 9. Bedroom wirdow or door for seg and exit. 10, Infestation of iasects,vermiv, 0'r "rod �'n--t—S: 11. Connect:'Lon to sewage disposal: 12. Connection to %oater supply: 13. Rubbish and garbage facilities: 14. Comments - B. Structural 1. P-Lers and footings: 2. Floor constriction: 3. Wall cons t ruct ion: 4. Ceilim*, and roof construction: 5. Firc-.places- 6. Cmients.— C. Electrical 1. Servicc; and 2. Rece-,)tacles: 4. CmLn-:,,.nt s: D. Plgmb inK, J. Fixtures . 2. -vate- connect,-d and vented: -ater: 3. Cas heating vents: 4. E.E. Other , 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: - - 4..`, Weather protection:----�-- 5. Underfloor and attic ventilation: 6. Cormnents : F. Conmmercial Buildin s 1. Roof covering: 2. Distance to property lines: 3. Physically handic..apped 4. Restroom floors and walls: 5. Exits: 6. Improvements: - 7. Zoning: 8. Comments: - G. Field Problems or Violations i 1. Probl orlation (g,vA complete deE4 ription) I JL { -- 2. Whataction take ec - a.. %--to l� ,cril�tiozi) - -ttlo completeI* — - P — ----( 3. What action recommended: 77A. Information only / / B. H for ten (10) days, then. wri-.Iu letter. ` / C. Write letter, 77D. Other: File No. BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information �) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards I Bldg. Insp. Admin. I1 / / D&C /Traffic I I Const. Rd. Des. Br. Des. Sur. & Loc Transp. R/W Mapping Land Dev. Ref. Disp. Drng. / S. I. H I Sub. & Pcl. Maps Permits 4 tE t 6 C Plumbing Co. 6314 • L it 610 &A-pir ,4a6-80 0 Allai,cV, 9$965-291-a AP 036� i Oi!:th zega�raoee to :tha l abova tubjact, a permit soba ued for a las silo a Porch 1jto anc dea a vashor, erA dvytkt at this m. z,, Sparks mobliehoma. on OepteMber 29; 1991 a lottor vias scot to you I:equodtjog that you' rotl6o the - p . AlOo* Otto delivstOd UQUC66 have boon lafti, Ww ere and dryers expojod to tho weather azonatj*tute a rjote.n.tial, hizaid 444 theretove are. requa ed to be totally eact000d. She, petwIta and p tio" are requi3;rcdby heath Sl iaW add Cooky, 1646 and a;ffn ai the €zbo e OppjUmcos 00 st utir -to beentloGed* U01:60a You iatl6 r tho VOdt 'tc ray cuftOnt Otatub Ofthin ton days andan 1Q the aQ 40#110000O with $41nalI Inop tion Oft-hift thittY dAY6 of 'tete date 09 thI& lettsr, the critter 0:91i be refor'rad t tho proper muthorst $ray tcsp�.' ate aet9Gan: Shou14 -yocu l avo any 4ueotione co broSog, this latter, .Please contact thla off Lee. tut My Castleberry E`Director of rubljc '6Jbrks Original'signed• by' J. F. Glander . .p .fl Chiat Building Inspir-tor e ' cc B011410$ 106pector CrovIlle COfttr4ctstra State LICOUSO Board, 429 Re4clift DrIve, suite 140, Redding, CA .. _ . . . COUNTY OF BUTTE ; DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872.-6307 CORRECTION .NOTICE OWNER PERMIT N'0. 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 corre 'on of work is completed. If you have any question pertaining to this matter, need additional explanation, please contact this office immediately. p Ins ector — 9 O ` Date I OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Beich Mobile -Home Sales 254.0 Esplanade ADDRESS: CITY & STATE: Chioo, CA. 95926 IMPORTANT. August 12 1980SEE INSTRUCTIONS. DATE OF CLAIM:, ' . ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO .AVOID DELAY) AMOUNT I Owner(M.Sparks) changed mind about insta.11ing mobilehome. (Permit pp n. #3085-0–= Recei— ppm%;• =��-3b�29i I - Mobilehome installation fe� paid ----- $4.0.00 _TOTAL Retain 1/3 of fee -------------------- 213.33 REFUND DUE -------------------------------- $26.67 $26 67 i f I I' v g � r0 TOTAL $2667' _— _ I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this clain i:] true and correct as stated. Deedthis .................................. day of ..:......................... . 19....... et................................. Calid- X 1.........._............................................................. �Y Signature of Claimant 1, 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. Datacthis ...............:.................... day of .............................19....... at ........................ Calif .................................................................................... Dep .rtment I -lead or Authorized Deputy — Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY `.'ENCOR I DEPT. CODE_ R SUB., PROD• SUB. 0BJ. CLAIM . NO. INVOICE N0. I INVOICE DATE DI! C• ` GRGSS AMO,LINT ENCUMB. SUB -DIST. w _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 /� 1 Telephone: 5340541 APPLICATION AND PERMIT BUILDING Owner lft=- I'Al wQ Q�C r A1� S S0. FT. OCC. BUILDING VALUATION Mailing Address ///� Vl1//� (B / T1elephoVe �, 6S7% Contractor d,e- C ��®6• `/ - p Mailing Address Cg.S Lro i_ S ��1�44 a Clf� `C v Fireplace Total Valuation c,¢ S c( Telephone No. Permit Fee Buildin Address : g / N C. 0n/ t% Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ I FEE PERMIT FILING FEE J$3.001 Each Trap 1,50 Repair drainage or vent piping 1.50 A. P. No. — Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F WP. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovemen s P Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd Parcel Approval Plans Apprval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 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 U Main service OVER eoov 25.00 100 AMP OR LESS Main service/ EA. ADD•L 100 AMP 1.00 OR ADDNS. ACCNEW CONST. LBLDGS,CCUP. 4') 22Sgft C CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: &E-, 'Ca `, / n I/ /z �'Orr�/4 �/��Lr' NEW CONSTR BRANCH CIRCUITS) NON•RESI D, BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS B NON•RESID. `SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES 50@250 BAL@1 Ex. OCCUp ( FIXED APPLNS, OR OUTLETS (REST D,) EA) 2.00 Temporary service 10.00 C N: rc 0 CA Mobile Home Facilities 15.00 License No. a �'�� �! 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. Rave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. E]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 $ $0 U 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 $ Oc �/d autnorize representatives of the county or tette to enter upon the above-mentioned property for inspection purposes. X zLz Date Signature of Permit®itee[ gent Receipt No.'63 (?Q 7 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 Building permit expires Date PERMIT NO. PO 3141-80P,E PERMIT EXPIRES 110? 4� . OWNER M. E. Sparks. CONTR. owner LOCATION (A.P. 36-291-21 6314 Lincoln Blvd., Sze } 't. Y l Re- a i is i Temp. Power Pole �r Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. 71 O Called PG&E JOB J7P FINALED (Date) t (Signatur COUNTY OF BUTTE —' DEPAIRTMENT OFPUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Seloack, Jr FI wall Vuf 11 —varaRets - 1t Floor Mai Bldg: Restr m Finish 2n Floor. Fo tins Window 3rd koor Ste all Siding To out Slab Roof Sheatking Water Plli Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physical) handicapped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab v Final Sanitation Patio FIREPL CE Final Footings FootingE ECTRI L Masonry Walls Thmat �: Flnun6 FIRE SPRINKLE Stucco \ Final Sub ane) Mesh MECHANICAL Grd. FqAt Prot. Scr atA Heats Servl . Bro n Co ng T940. Pole FiAlsh D is tinderground Int for Lath Ventilation Permanent Dor Close Anal FlnaI I MOBILEHOMEUTILITIES ------------------ Elec. Servicec2 Elec. Pedestal Water Piping Sewer Gas Piping MQRILEIJOMEI ST LLA O - - - - - - - - - - - - - Support C 4Z..7 7 Elec. Continuity Water PipingVzqDrainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical A. Is service large enough to provid .adequate amperage -to mobilehome'(must equal rating of" mobilehome with a minimum of 10 amp) and other facilities on lot, i.e., water"Irum—%, garage, cabana, etc.? Yes P No B. I3 there proper clearances around panels? Yes_ No_ C. I; power supply cord or feeder assembly properly fused? Yes !®iQ0_ D. Is continuity test satisfactory as per the following procedure? Yes _No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2_ Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. S. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6'. Upon.completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is jcb card signed by Health Department for water and sanitation? 11. If everything okay sign off -card and tag services. ,,7/ MOBILEHOME DATA y ��� / /� • Manufacturer and/or Namest le (i✓ Length Width 20 Vehicle Serial No. / q State Identification No. )/ � ,7�0T3/ Additional Information 6r Comments: ! _4 . -1 MOBILEHOME INSTALLATION IM PECTION CHECK LIST 1. Is the mobilehome located with equired separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec..5085) Yes LI o 3. Are footings and supports properly sized, spaced, and braced as .p approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is /mobihome level? (Sec. 5088) Yes_N5. If a single unit, are crossover connections properly installed? (Sec. 5088) Yes 6. Water A. Is fle ' le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No_ B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_ No Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes L'INo_ B. Does it have minimum 4" per foot slope and is it properly supported? Yes e,No C. Are any leaks detected in drainage system after running 3- ons of water through each fixture including washing machine standpipe? Yes_ No If coach is not State of California approved, does station have required trap and vent? Yes_ No— I 1� 8 Gas Piping and Gas Vents' A. Connector - Is mobileho e connected to the gas supply with an approved 3/4" minimum mobilehome connector t more than 6 ft. long? Note: All piping .is to be at least as large as the mobile me gas line inlet without reductions'other than the mobilehome connector. Yes o B: 'Test OK as per following procedure? Yes_jZ No_ 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the Calif orpia-Administrative Code, Title 25, Chapter 5. under permit number WW-6L"—for the following location: Owner Owner's Address Mobilehome Mfg. �''��✓.���,'='� Model Z �-t'�' Year 7' Insignia No. %�> � �/ '`� Serial No. �7r�J� X4/ It is hereby certified for occupancy at the above described location and may be occupied. _ Director of Public Works -7 i Date'4 gy m.. THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIIe, California 95465' -'Te I ephone 916/534-4541 APPL'IChTIONIAND PERMIT w4-ma"O 0 A SSag PA NJJMBF PEOWNE MNBUILDING PH NE S0.FT. OCC. B ING ALUATION OWNER' MAILI G AD R SS «� CoN ACTORSNAME to he r TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD G DDF; E;S PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent. 2.00 Gas piping system 1 - 5 outlets USEORUCTURE SF [:1Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition Remodel FJ Utilities❑ Instal atione/Other❑ Describe work: 1 .v Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 EA. ADD -L. 100 AMP Main serviceNEW 2.50 CONST. DWELING OR ACDNS. ( ACCLBLDGS.CCUP.&� 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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 NE NON-RESID ONSTR BRANCH CIRCUITS 2.50 ea NEw CONSTR. ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occu 50 @ ua P(OUTLETs OR FIXTURES BAL@1 FIXED APPLNS. OR \ Ex. Occup.(OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. FJI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 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 againstdsaid,,ounly in nse ce of he granting of this rmX,�I � Date -�/ Signature of Applicant — Owners/ Contractor 1:1Agent ❑ 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 $ Land Development Fee $ TOTAL PERMIT FEE $ , OCCUP. GROUP TYPE OF CONST. PARCEL PD HD 1S5oEi This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PU By PERMIT EXPIRES Date's the applicable provi- resolutions to do fees have been paid. LIC WORKS Date Receipt NO. � l' d�.t WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1, Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,-CA. PHONE: 534-4541 3. Is the,site currently under permit? Yefi No (If, yes, furnish permit number �r f ) OR Is the site an existing site? Yes / / No / *(If'yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify ) ._ 5. What. s�the mobilehome electrical rating? _______________________ Amps 6. What is the mobilehome site service rating? --------------------- ,2 Amps 7.. What is the mobilehome site circuit breaker rating? ------------- ,+ ® Amps 8. Is.there any other electric load to>.be served by the mobilehome siteservice?---4ezx«�------ ----------- ------------------- - Yes No (If yes, identify the load and size: (Load) !?0 (Amps) 9. What, is the mobilehome site gas pipe size? (i�?•) 10. What is the type of gas service? ----------------- ------ Natural 3KZ LPG/ / 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ---------------------------- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 50070. BUTTE COUN'ry BUILDING DEPARTMENT APPROVED MI1B ILEHOME SUPPORT DATA *If center piers are other than drawn above, _. draw. in -locations,. spacing, and dimensions. If other than single wide, Mobilehome Mfr.1 �/'•44/e�: furnish Setup Model No. dear/7 Width 0 (ft.) Box Length (ft.) Tagalon ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footing$ (check one) Single 1. Wood either pressure treated or foundation grade. P. =X -J70 (ft.)(in.) (in:(in.) F. 2. Other (specify)) ❑ Center support ;: Center support . Supports (check one) locations* ,footing'sizes 1; Concrete block.' j xJ v 2: Other (specify) ' 4—tagalong or Expando,' show support details. n Vol (in.) (in.) Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) `j'– -- Max. Pier Spacing Max. Overhang (ft.) (in.) (in.) (in.) (ft.)(in.) *If center piers are other than drawn above, _. draw. in -locations,. spacing, and dimensions. COUN Y OF BUTTE - DEPARTMENT,OF. PUBLIC WORKS 7 County Center Dave - Oroville, California 95965 - Telephone 916/534-4541 APPL"ICAYION AND PERMIT PERMIT NO. ASSE$SO PA CELUMBER ONI G CI J4 BUILDING PE W R TELE HO E SQ. FT. OCC. BUILDING VALUATION OWNER'S1M AI LIN AD ESS - I _• V I CONTRACTORSNAME NO -11 to TELEPHONE CONTRACTOR'S MAILING ADDRESS - CONSTRUCTION LENDER e UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS' Permit fee $ BUIL ,,, AD ESS t (�+� dn PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 V t 1 Water piping A01 Z) LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater Or vent 2,00 Gas piping system 1 - 5 outlets USEOF STOther RUCTURE ;n 5 SF ❑ Duplex❑ Mobilehome SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 610v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,50 NEW CONST.- DWELING OR ADONS. l ACCLBLOGS.CCUP,&) 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 NON.CONSTR URESID, BRLTANCI.OUH CTIRC ITSLET 2.50 ea NEW NON•CONSTRESID, (R (/ SINGLE OUTLET CIRPOWER APPARATUS .&) & Ex. OCcu 50 L @1 P�o OR FIXTURES BAL@/Os FIXED AXA Ex. Occu p•(PPLES. OR \ OUTLETS (REST D.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 R Misc. Wiring 6.25 �® Permit Fee $ .2G Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject 1� 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 Fa ling Fee 3.00 Heating Cooling Hood 2.00 Ventilation FF4 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 sai ounty in c equ of th granting of this permit. X Date �� Signature of Applicant — Owner ❑ Contractor ❑ Agenr ❑ An OSHA permit is required for excavations over ST" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, I PARCE 0/ ✓ HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OF PUBLIC By. P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date? 7"9'!1 Receipt No. '1 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY,OF BUTTE - DEPARTMENT QF PUBLIC WORKS F 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLIChfIONt AND PERMIT • SSAAS OR P C L NUMBE ONI e, -- BUILDING P MIT O TELEPHON SQ. FT. OCC. BUILDING VALUATION OW R' M/jA NG A RESS CO TRACTOR'S NAME YI TELEPHONE _ CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER ;V n -Y) UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER IF LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING A DRESS Permit fee $ BUILD G 6 DDR S - PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 rT V1 V Water piping LOT NO. SUBDIVISION NAME ARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets t USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition Remo Utili ' s ��stallation❑ Other ❑ Describe work: I' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1111 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP,&) 2�sgft OR ADDNS, ACC. BLDGS. 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 NON.RESID R BRANCH MULTI-OUTLETITS 2.50 ea NEW CONSTR. POWER NON.RESID. SINGLE OUTLET CIRAPPARATUS.6) . EX. DCCUp�OUTLETS OR FIXTURES �@� BAL�IOS FIXED APPLS. R EX. QCCUp.�NO OUTLETS (RESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. f�f 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application, and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-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 sai County in ons ence the granting of this p mit �� X Date �'! Signature of Applicant — OwnerZ Contractor ❑ Agent ❑ J 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 $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND 159UE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. E OR O PUBLIC WORKS By Date p PERMIT EXPIRES Dat Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive - Oroville, C.1lifornia 95965 - Telephone (916) 538-7541 PERMIT yo. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING 6-291-021 M1 BUILDING PERMIT JE"IS BRASIER JESS RAYMOND BRASIER/CHRISTINETHANSEN FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 57 NELSIR PLACE, OROVILLE, CA 95966 ESTELEPHONE S 1 2,000 CONTRACTOR'S NAME OWER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER i10NE LICENSE NO. Plan Checking Fee $ 2-3.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6310 LINCOLN 'BLVD 0 ROVILLE PERMIT FEE $8.00 0 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome Ti] Other CABANAS 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 CIUtilities ❑ Installation ❑ Other INContractor Describe Work: REPAIRS PER SI #90-46 PERMIT FEE $ - ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS I 200A OR LESS 23.00 ain Service ( 200A TO 1000A ) 46.00 NE CONST. DWELLING OCCUP. OR A S. ( & ACC. BLDS. ) SO - 3•SC FT. NEW CONST. MULTI -OUTLET _NON.RESID. ( BRANCH CIRCUITS ) @7.SO CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. , Business and Professions Code forthis reason POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 2001.00 BAL. @ .Bo Ex. Occu FIX ED APPLNS. OR p' ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O 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. 19hall 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Coun y in consequence of the granting of this permit. rr _ Date �� gnature of Applicant - CIOwner O Contractor ;RAgent 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 $ 88.00 HAZ• I D. FEES IMP ``111/1 I FLOOD I CDF PARCEL PD -"— I HD PSSUE 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 IDetel Receipt No. 162635 WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 7� � �7 QOUNTYOF BUTTE - DEPARTMENTOF D,EV&OPMENTSERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE = OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 - PERMITAPPLI.CATION DATA SHEET OWNER A No. ©U 491 Proposed Building Use �ilding 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'on-Heated and A/C Buildings. ...................... 8. Engineered truss detailsaand.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 flp60v, ,by-'C I'fornia Engineer.. . 14. Sanitation and plot planapprovale- ealth 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 f.( construction approval required prior to occupancy). .. .. .. . 20. Pre-inspection for Freanspection request p 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 ' 51' 24 Recorded co of Agricultural Acknowledgement Statement. PY 9 9 Letter of signature authorization. . 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 y and (B) Parcel meets zoning area and frontage requirements. xisting violations/expired permits..................................... 32. Ian check list . ........................................... . .34. ' When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pic up at N, office. Deliver with inspector. Other 8, Parcel Creation Z - Acreage y Applicant /�>'� Date S Copy of Haz-Mat form sent Health-Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. I Fire Dept. Other Date By The following data must be submitted p�tperm'�ssua��(Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designeCownec,4as advised of above required data by _ phone _ mail Counter b _ Date Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Plans checked by Date . Plans approvedtby Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES.- BUILDING DIVISION 7 County Center Drive --Oroville, California, 95965 - Telephone (916) 538-754 PERMIT PERMIT No. APPLICATION AND PERMIT - %q - /,2 3n 'SI"P ""_'K" 9 1_0 a ! Z°"'" BUILDING PERMIT OWN' cs ras;� r TELEPHONE S . FT, OCC. BUILDING VALUATION OWNER"Fir, Irl GADO"e Is I` r W ,%� 6 0 - Q :9&(/Q l:.q_"E ICON DR'S NAME ne PHOE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTfl TI N LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ . 20.00 Permit Fee $ Q ARCHITECT MENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT 0ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADO as 1 lel c h Vd. Oylov hoPLUMBING PERMIT FEE $ 1 I 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 O Duplex O Mobilehome X Other P �_Ia /oa n sPECIFr Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition ❑ model O Utilities ❑ Installation O Other O Describe Work: e' I / S eL PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 O Main Service ( 1111111 LESS ) 200A OR LESS 23.00 • Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC UP. OR AOONS. ( a ACC. SLDS. ) 3.50 FTgO,• NEw CONST. MULTI -OUTLET .NON.RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification O 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) O 1 am exempt under Sec. Business and Professions Code forthis reason ( POWERAPPARATUS ) 6 SINGLE OUTLET CIR. Ex. Occup. ( OUl"LET OR FIXTURES ) 20 @ I•W BAL. .50 Ex. Occu FIXED APFWS. OR P' ( OUTLETS (RESID.) A. ) 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. O 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. O 1 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 1 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner O 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 $ )IS.SUE Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ 819.00 HAZ• D. FEES IMP FLOOD COF PARCEL PD HD 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 (Date) Receipt No. �� J WHITE-D.D.S.-B.O. CANARY -ASSESSOR . PINK -INSPECTOR GOLDENROD -APPLICANT r SCO Nob BUTTE Bul or - MAV 0 2 1994 OWNER'S NAME: RECEIVED PERMIT NUMBER:. A.P.#: DATE ❑ RESIDENTIAL ❑ NON RESIDENTIAL RECEIVED BY TIME — — — — — — — — — - — REQUIRED PRIOR TO PERMIT ISSUANCE ----------- ---------- ❑ FROM DATA SHEET ❑ REQUESTED BY PLAN CHECKER ❑ OTHER --------------------------------------- REQUESTED BY CORRECTION NOTICE ❑ YES ❑ NO Im: LOCATION IN BUILDING WHERE CHANGE OCCURS: --------------------------------------- WHEN APPROVED, PROCESS AS FOLLOWS: Mail to owner (Address) Mail to contractor (Name and Address) Call and hold for pickup at office. Deliver with next inspection. REVISED PLAN. CHECK FEES PAID: $23.00 $46.00 Additional Fees Not Required OWNER'S NAME: RECEIVED PERMIT NUMBER: A.P.#: DATE ❑ RESIDENTIAL p NON RESIDEPITIAL RECEIVED BY TIME --------------------------------------- REQUIRED PRIOR TO PERMIT ISSUANCE ❑ FROM DATA SHEET ❑ REQUESTED BY PLAN CHECKER ❑ OTHER REQUESTED BY CORRECTION NOTICE ❑ YES ❑ NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: WHEN APPROVED, PROCESS AS FOLLOWS: Mail to owner (Address) Mail to contractor (Name and Address) Call and hold for pickup at office. Deliver with next inspection. , REVISED PLAN. CHECK FEES PAID: $25.00 $4(,.00 Additional Fees Not Required April 25, 1994 To Whom It May Concern: I hereby give permission.to my father, Jess Vernon Brasier, to obtain all permits for any work to be done on any of my properties,. Jess Raymond Brasier 4 _ T i COB N7p OF UILNG UTTE SAY p 2 1994 s COB N7p OF UILNG UTTE SAY p 2 1994 POWER OF ATTORNEY JESS RAYMOND BRASIER does hereby.. appoints .JESS .VERNON.-'BRASIER attorney i n fact for me and i n my name, Pl aceand :atead, .: hereby'.. giving and granting. unto him full authority.: to;do and perform al.land -every.a thing .what s.oeverrequisite and; necessory _to be done in and .about,: -.the premises as-.ful ly, °t'o `x114 intents and purposes, :as I Emi.ghtµorrcould do if :personal lypresent 1J '� with full: 4 .t;-. �•^•� .:.� -`.tl - JSt J' �`V't�S ,� r power;of substitution}and: revocation, .hercby ratifying >� k ands confirming) al l that;'he:or his subst'itute� shat 1�`wfu,I41y tla� - x �. , � .vi t-tue . J 5 •�� � � f � , E r e to:�be done by Y x hereofsGpowerp�atorne��/t �x f° Ya t Z Hyl J -P is`1'im ted ;to acts concernin 7d0 LIMITATION.' s�nc :'lhiF r ;i�: �' .:i•t'�.r s s �} 'i 9 - ! { 88 t11� BuEhority }. to execute siI documents ncludin hie purchas-ii,'and sale ;of re property; 3 y _ ( ,t. .. r,. •>ff �. .Mie:`=3 1. .�' ti. ...��F.4 f�'" r f. o en 'and• close :bank:: ccoit n s, buy::.`and <sell `personalty.; c�►lk��t«��ts,;:and=;sign#n��, fir, 5Tb.ehalf..ah1'.db9rte`ition. erein,yiny;7��gfta: r. i � > tt , r .,R rt{.ry .la. -r .f '' •; r .t f r i..y1 :.<,�'•/�.. i+ N^{��",?, ;, r p, -+'Se <*.E P �, >. Y 'jtj - y :.+ c 5 f f r• :G "Y '/�r r> >. t� 4�,t �1���� tr: t,T !! r �'Y i D ^`B r.. Y rn o.r WJE S RA�1"ION xASIER� ! i r 1 7 ) ~ aka; DESS R. BRASIEyRE )ESS ,BRASIER` lr.4r�!!"}' NOTARY.: ACKPSOWLEP.GEMqp 3,- d 4 !•1992 w On september: li, before: me, the undersi9ned;v !utary �` Pub 1 i c i n �•ari •. .., � ! ti ; . _ ; r � -.5 s � �4 `for the.-:Stote of California i`perSonally:; geared )Ess RAYrtortD BRASIER (.mown) (proved) toYmet4 be;$ the' per= sonwhose:..name; is subscribed:to;the::wi-thin instrumentxand acknowl- edged signing .the 'same{° '` t u Fi> r �. 4 4 YH BYRAM - t s j'J 4 ,. } t. •, r. • J !. 4>• i? i a Y i ;e ,'a ,r"'tr�Vr' ;Zri!'3x >if ` 'E �' .. �+, .N . OFFICIAL SEj Yvonne H. ByARYPUBLIC CAIi c+ �BUTTE COUNTYIy CExp M WY C /� f t�f5 j r fy4 f ? re ; , �, t � ��'a A �>' i � �?^'�,x�> } �.. �,ei�. ♦ z ' �f!`i �[S i. �. � i ��'�i�•tT�.��a��,f�� Is ��Fte � .gip. �a,1.�wZ .,:fir �l F��Wr Y . •r ,tt Y ' r K i Y Not te-d r��ass�ssC-d, �qt �jd0wPie ,� ✓1: u s e c( V �7 �a`olg5 �o�'a 2 S� �C� ✓'C-� �C- � ✓C�� T� l `'l �a / OWNER'S NAME: PERMIT NUMBER:. A. P. #: RECEIVED DATE ❑ RESIDENTIAL ❑ NON RESIDED1TIAL RECEIVED BY TIM ----------- REQUIRED PRIOR TO PERMIT ISSUANCE----------- ❑ FROM DATA SHEET ❑ REQUESTED BY PLAN CHECKER ❑ OT'HER --—————————————————————-——————————————— REQUESTED BY CORRECTION NOTICE ❑ YES ❑ NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: ---------------- WHEN APPROVED, PROCESS AS FOLLOWS: Mail to owner (Address) , Mail to contractor (Name and Address) Call and hold for pickup at office.' - Deliver with next inspection. REVISED PLAN.CHECX FEES PAID: $23•90 $4.00 Additional Fees Not Required OWNER'S NAME:. RECEIVED A.P.#: DATE ❑ RESIDENTIAL. ❑ NON RESIDENTIAL RECEIVED BY TIME — — — — — — — — — REQUIRED PRIOR TO PERMIT ISSUANCE — — — — — — — ❑ FROM DATA SHEET ❑ REQUESTED BY PLAN CHECKER ❑ OTHER • --------------------------------------- REQUESTED BY CORRECTION NOTICE ❑ .YES ❑ NO •ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: WHEN APPROVED, PROCESS AS FOLLOWS: Mail to owner (Address) Mail to contractor (Name and Address) Call and hold for pickup at office. Deliver with next inspection. REVISED PLAN.CHECX FEES PAID: $2.00 $4(p. 00 .Permi.t , Applicant : Jess Brazier } . ,. Date : 5/17/94 ...Permit' # 94-1230'. The abo:ve,`:r'eferenced' building plans were reviewed b -y this .office. Provide add:itional-informa.tion_and/or-make appropriate revisions' ' fto Plans'j seciications , and calculations a:s -follows.: Plans submitted insufficient for. -plan check. Provide•`adequate plans', including floor plan -of mobilehom " Show doors and windows in storage buildings and mobilehome. Provide all four (4) el-evations of buildings. Provide diminsioned structural details, including material description. If you'ewish •to -:discuss any requirements, you may contact me at (916)538-7541°between 1:00 and 4:00 PM, Monday through Thursday. Bob Keith RESIDENTIAL 036-291-021 PERMIT#97-1468 BRASIER, Jess 6310 Lincoln Blvd., Oroville PERMIT;`' Repairs Cabana/MH PERMIT EXPIRES OWNER CONTR. °,,%ASSESSOR PARCEL i `LOCATION ry • P> { • t w ,Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature V=OK 0 = Not OK Not `=NotReady ble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location-TesWall-C/0-Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / MJL / /Nat. or/ /L°ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card 0-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test Demand-Vahm-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date OCOVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Requirements -Setbacks -Easements , tings; SoRsSize•DepthSpacing-Connectors-Steel elks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4: Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplice-0ecal-Enclosures 6. Carports; Windows -Doors 7. Electric B. Fnng ils-AnchorsStuds-Rttrs-Trusses 9. S' ng; Nailing -Veneer -Stucco -Mesh 10 oof; Shthg-Roofing Steps -Doors -landings 12. BrAced Wall.Panels Date Card B-1 Da c B-1 Date Card B-1 Date OL ns OK cet #'s 1. Setbacks -Easements 2.' Soils; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men-Uning 4. Elec.; Receptacles and Lighting, Distance-GFI ' 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/9 Circulating Equip. -Pod Lghtg. Boxes-Encbsures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TesWater Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 =No 0 = Not OK RESIDENTIAL (Single & Duplex) - = Not Applicable- Not pplicable Not Ready Date UNDERFLOOR (Plans) OK except ft 1. ZoningSetbacks-Easments-MoodSlope 2. Ftg., Main; Soils-Elec. Gmd. / C Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ C Ftg. Depth S. Stemwalls, Main; Steet-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped S. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Fitting4est-2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance-MaterialSupport4ns. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except ft 17. Water Hb,.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or Al -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower UghtSpa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except Ws 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat prool) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purtin-roll Brac: TrussShting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr...Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except Xs 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit Fat. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BU -[TE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center brive - Oroville, California 95965 - Telephone (916) 538-7541 PER 0. (Rev. 12/96) APPLICATION AND PERMIT Q% -Z ASSESSOR PARCEL NUMBER 036-29t-021 ZONING M1 BUILDING PERMIT OWNER JESS BRASIER TELEPHONEN� 534-7948 SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 57 NELSIER PL OROVILLE 95966 EST 1,000.00 CONTRACTOR'S NAME 014NER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $UU BUILDING ADDRESS 6310 LINCOLN—BLVD Energy Plan Checking Fee $ OROVILLE $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other CABANA 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: _ REPAIR EXISTING (8' X20') Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home s I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ".*AoRLESS 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 Lawf 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 Main Service ( 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 5.60 3.5¢FT. NEW CONST. MULTI.OUTLET NON-RESID. C CIRCUITS @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EJ(, OCCU OUTLET OR FIXTURESBA0 O 1:00 FIXED APPLNS. OR Ex. Occup. ouTLErs REBID. FA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 EE: PERMIT FEE S 25.60 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number /e above sections need not be completed if the permit is for work of a valuation f 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. X cif/ —Date ���� _ S' ature of Applicant - ❑ Owner ❑ Contractor ❑ Agent n OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 93.60 HAZ. D. FEES IMP FLOOD PF PARCEL Po HD S This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. �J 2 �J 9� to / V 2 Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT IZ i'".�1..',.LL.-�r.'7��.-;�.��.�y�`:':'s?`.,�:. ''r�; Y,. 'r Y'._.. ,.7i ��,�Y+1�1� gr4`ryY�r.aw'�L •��"f� �rZ��T `y�/[.•-:-1`f'N� ...{,. ,{'.r �..a ..t.r`' '. v .. �, - �� • f' s J = COUNTY OF BUTTE DF.,:,44� TMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -'TELEPHONE (916) 538-7541 PERMIT ARFfXAT10N DATA SHEET OWNER: ASSESSOR PARCEL ER:� �' Q Proposed Building Use: e Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing an or issuance: Date Received By .All items have been submitted .--------------------------------------- ---------------------------------------------- 112. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 0 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ------------------------------ --'------------------ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------- ---------------------- ❑ 8. Hazardous Material Form. --------------------------------------------- --------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10-. Fees of $ ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------- ----------- 0 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- El 20. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification)- ------------------------------------ 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Budder Verification (Given to owner ❑, Mailed to owner 0) - -- ----------------------------------- ❑ 24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------- ----------------------- ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- When you issue the permit, process as followA Mail to owner, ❑Mail to ntractor. S)ITTelephone and hold for pickup atOyt) V; office. ❑ Deliver with inspector. APPlican' Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, o Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, o Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, o Building Div' ion counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, o A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 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: YESA NO O 2. I HAVE HAVE NOT q 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 SIGNED: PROPERTYOWNER: SOCIAL SECURITY N' JMBER:_� // DATE: Z-fL 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 OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted iny our 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: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 :-i:-mcrefor the entire project, and such persons are not licensed .as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security takes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ 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 `.`owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by 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. r rely, Mic el C. Vi iia, C.B.O. Ma ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 oftie California Health and Safety Code OVER (Rev. 12196) COUNTY OF BUTTE= DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND -PERMIT ASSESSOR PARCELNUM13ER �� .- 'y,v� C0 , ZONING /. M BUILDING PERMIT OWNER tTesSs`c- �^ TELEPHONE SO. FT. OCC. BUILDING VALUATION S O� OWNERS MAILING AD DRES �+ 99 e r Irl � z CONTR �A'�TOR'S NAME (C C�WaG� TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRU ON LENDER © " Fireplace LENDER'S MAILING ADDRESS Total Valuation L ARCHITECT A ENGINEEA " d h t LICENSE NO. Fee b 20.00 —Filing Permit Fee $ Z" 0 Q ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUn.owGADORESS 63 /O I �� Energy Plan Checking Fee $ $ /Q V 1 PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE/] SF ❑ Duplex ❑ Mobilehome ❑ Other ( " a A a Yt Cc SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition D Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: I X r h r Y go Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service mw oA u'ss 1 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 Lar the following reason: v, 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. D 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 a above sections need not be completed if the permit is for work of a valuation Ponehundred dollars (5100) or less.) 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 Date '� SiVflure of Applicant - D Owner ❑ Contractor ❑ Agent ArfrOSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO ,000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADONS. ( a ACC. BLDS. lc 3.5C FT.OT. IN,pN.q ,p, MULTI.OIJTCLI LG 7.50 aPOWEREOPARATLITLEr S R. 20 o Ex. Occup. OUTLET OR FIXTURES SAL .gD FIXED APPLNS. OR Ex. Occup. OUTLETS REBID. EA. 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 FEE S Mobile Home Installation Fee $ Energy Inspection Fee S occ CONST. TYPETOTAL FEE $rtify HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PO HD 6SUE This permit is hereby issued under Of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Data) �ReceiptNo. / % WHITE -D.D.S. - B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT [6310 291-021 IER, JESS #98-1859 LINCOLN BLVD OROVILLERRENEWAL OF 97-1468 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County "Center Drive :• Oroville, California 95965 • Telephone (530) 538-754; PRMIT NO. (Rev. 12/96) APPLICATION AND PERMIT is ti ASSESSOR PARCEL NUMBER 036-291-021 ZONING - M1 BUILDING PERMIT OWNER BRASIER JESS TELEPHONE 534-7948 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 57 NELSIER PLACE OROVILLE 95966 CONTRACTOR'S NAME OWNER 77 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS "Mr Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee tORIGINAL $ 12.50 ARCHITECT OR ENGINEERS MMUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS 6310 LINCOLN BLVD. OROVILLE Energy Pian Checking Fee $ $ ., x _. , _ r . -..... ,. PERMIT FEE $ 32.50 lOT No. SUBDNIS IONS NAME �.. .. t . �_" -:... r "''`F" `f'A:w. ::��MAP,P.�q•!'•� }•swtiy.L1i+. Gey....• •fa LUNTBIN-dW E'� rA-1T FilihWF66 20;00' USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other CABANA 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: 1ST HNEWAL OF BUILDING PERMIT ;li —1468 REPAIR EXISTING (8' E 201) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ " ELECTRICAL PERMIT Filing Fee 20.00 Main Service eooV oR LESS ZOOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provision! 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 ❑ 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 t 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 Cade, 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 H I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date !cL�T _I-- Signat a of Applicai1t = `©'Owner ❑ Contractor ❑ Agent An 6SHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO I000A 46.00 NEW CONST. ( DwEwNo Occup. so OR ADDNS. a ACC. BLOS. 3.50x. NO.R SID MULTI -OUTLET @7,50 POWERGLE APPARATUS a SIN OUrLET CIR. Zo ®1•00 Ex. Occup. OUTLET OR FIXTURES BAL .50 Ex. Occup. ..ED Aa D°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 { . PERMIT FEE S - MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 32.50 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have �1%I ��jj� ,�l By .`'7T,�t �i YY'�' 1 PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date /4 Date ReceiptNo. ' 1J /1.:T ! )/1 •=r �) 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) 538-754 BAIT NO. (Rev. APPLICATIONANDPERMIT�� I� ASSESSOR PARC3 NUMBER 036-291-021 M1 ZONING BUILDING PERMIT OWNER BRASIER, JESS TELEPHONE 534-7948 SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 57 NELSIER PLACE OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION -ENDER LENDER'S MAIUI-G ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 20RIGINAL $ 12.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6310 LINCOLN BLVD., OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S 32.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other CABANA 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 O Other ❑ Describe Work: 1ST RENEWAL OF BUILDING PERMIT # 97-1468 REPAIR EXISTING (8' X 20') Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 500V OR UES Main Service OAOR 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. e Class Lic. No. OWNER -BUILDER DECLARATION by affirm under penalty of perjury that I am exempt from the Contractors License rLaw,Aorthe 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 effirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' conpensation, 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: Ca-rier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( a ACC. BLDS. 3.50FT; NOµRESID. MULTI. OUTLET @G 7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAS @ ': 0 IS OR Ex. Occup. ourLFIXEEDrs AE'sI6.) E 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number he above sections need not be completed 0 the permit is for work of a valuation ofanehundred dollars ($100) or less.) ertify that in the performance of the work for which this permit is issued, I shall no- 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 foIth comply with those provisions. �r p X ate `7L g _ Si ture of Applicant - O Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 32.50 HAz. IMP ft FLOOD CDF PARCEL PD I HD I ISSUE 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. ey 0 '� ate PERMIT EXPIRES ON I 2 g� Date Receipt No. 0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Ue-ss 'B rc4SI e -,t2 0 3&-aql-0al OWNER -BUILDER VERIFICATION Attention Property Owner: _ An "owner -builder" building permit has been applied'for in your name and bearing your signatnce, Please complete and return this information at your earliest opportunity to avoid 1' in processing and issuing ' your building permit. No building permit will be issued until t6ia verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES W NO O 2. I HAVE 01 HAVE NOT 13 signed an application for. a building permit for the proposed w0i�c.; 3. I have contracted with the following person (f m- ) zc rovide the proposed construed* * :`�:.. NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the -folio "*"`4.x-::` wmg Person to cooi+dimte, supervise, and provide the majorwork• NAME: �T ADDRESS: CITY, PHONE: CON'TRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to p�c+p`ilde. the work indicated: "{1• NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER:'_ SOCIAL SECURITY NtNMER: - DATE: 2 I - q g Owner Builder Verification is required by Section I9 r-iu-W 83 California Health and Safety Code. This verification must be -completed Md returned to our office before we are permitted to issue the permit OWNER BUILDER I-NFORNIATION 1 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: v ♦ If you employ or otherwise engage any persons other than your immediate family, and the worlc'(including miterlals and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors "or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security It' , . • workers compensation insurance, disability insurance costs, and unemployment compensation* eontn'butiot"'Li" ♦ Them may be financial risks for you if you do not c out these obligations; and these risks are eii• ectal serious Y Y Y arTY b p lyserwus with respect to worker's compensation insurance.. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Servioe.(agd, 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 livaited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. - Information about licensed contrac!prs may be obtained by contracting the Contactors 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 4icly, iv�� l C. Vi ira,C.B.O. r, Building Inspection NOTE. This Owner-Builder.Informatlon is required by Section 198.10 of the California Health and Safety Code. OVER o = No OK RESIDENTIAL (Single & Duplex) - = Not Appliu ble = Not Ready Date UNDERFLOOR (Plans) OK except #'a 1. Zoning-Setbacks-Easments-Flood-Slope Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-RfV. Ties-Purlin-roll Brac: Truss-Shting.-Ring. 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ J' Ftg. Depth 51. 5.. Stemwalls, Main; Steel-Blockouts-Wrapped 52. 6., Stemwalls, Garage; Steel-Blockouts-Wrapped 53. Ext. Doors -One &-Check Garage 3rd Story, 2 Exits 6a. Hold Downs and Special Anchors Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 7. Slab, Steel -Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 58. 10- UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11- Water Pipe; Test -Anchors -Regulator -Service Test Shear Walls; Nailing -Bolts 12- Electric Underground 60. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 61. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 62. 15. Access & Ventilation 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card E-1 Date Ext Steps -Door & Sidelight Protection -Landings PLUMBING (Permit) OK except #'s 64. 17. Water Htr.; Vent -Access -Combustion Air Baffle 65. 18. Water Pipe; Test & Anchor -Nail Protection 66. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 67. 20. Shower Pan; Test, First Floor -Tub Access 68. 21. Test Tub & Shower, Second Floor -Tub Access 69. 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Recepticales at Kit. Counter ELECTRICAL (Permit) OK except #'s 74. 23. Fixture & Transformer Clearance -Ins. Protection 75. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 76. 25. Size Boxes & No. of Conductors Stapled 77. 26. Romex Installed Close to Edge of Studs & C.J. 78. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 79. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 80. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 81. 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 82. 31. Service -Riser Conductors & Ground -Main Disconect 83. 32. Equip. Clearances Panels-Motors-Mech. Epuip. 84. 33. Clothes Closet Light -Shower Light -Spa Light 85. 34. Smoke Detector 86. Water Well, Disconnect, Electrical, Plumbing Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date Ventilation Throught House Card B-1 Date Card B-1 Date Glass Protection MECHANICAL (Permit) OK except #'s 90. 35. A.C. Ducts Insulation & Support 91. 36. Vent Fan, Exhaust above insulation 92. 37. Condensate Drain & Overflow, Size & Grade 93. 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-RfV. Ties-Purlin-roll Brac: Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One &-Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: V=OK O = Not OK Not • = t Applicable NoMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s POOLS (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 1. Setbacks -Easements 2. Soils; Special MH Support Sketch 2. Soils; Compaction -Structure Stability 3. Sewer, Location -Test -Fall -C/0 -Concrete 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Water; Location -Test -Easement Needed (Sketch) 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Gas; Location -Test -Wrap; / /"L'ft. / /Nat. or/ /"L"ft./ /LPG 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Well Clearance & Disconnect 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Utility Clearance 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Vahe-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date D KS„COVERS, CARPORTS, GARAGES(Plans) OK except #'s 1. ring Requirements -Setbacks -Easements 2. tings; Soils-Size-DepthSpacing-ConnectorsSteel Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 9. Siding; Nailing -Veneer -Stucco -Mesh 1 f; Shthg-Roofing Dat Date Card B- j Date Card B-1 Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 RESIDENTIAL 036-291-021 PERMIT#96-1111 BRASIER, Jess 6310 Lincoln Blvd., Oroville n... -I- /neu I i JOB FINALE .Signature I y COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. 1, A routine inspe ibn indicates that the following violations of butte county Ordinances exist at the above addre and should be corrected. Please notice this office when correction of work is completed. f you have any questions pertaining to this matter, or need additional explanation, please c tact this office immediately. REV 10/92 el COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE, OWNER PERMIT NO. d A routi ie 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. i itH42 6e i je 4 y :a Date `-/ / & / 19 -4 Inspector REV 10/92 S OWNER COUNTY OF BUTTE ' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE r -x-73 �-- 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, plea e contact this office immediately. P400. 3 -( Zc 3(f �4/4w ,Q P-,4)4- k Date -3 -/4)L - Date _3 / `W Ins REV 10/92 i November 7, 1990 Jess,Brasier RE: Special Inspection #46-90 57 Nelsier Place (A.P. 036-291-21) Oroville, CA 95966 Dear Mr. Brasier: With reference to the above subject and your request for inspection of the cabanas and garage at 6300 Lincoln Blvd, Oroville, the inspection was made on November.1, 1990. The buildings. were constructed by the previous owner without permits and inspections from this office, so we were not able to perform the required inspections during construction. We therefore made a reasonable 'visual inspection, without going on the roof, under the building, or in the attic ani found the buildings appear to conform to the intent of code requirements, except for the following items which must be done of resolved: Agid%. Provide conforming foundation for garage. Remove electric from garage or rewire per National Electric Code. e� (,O' 3. Provide footings and post anchors for storage shed. eco Aewol4. Provide truss engineering for storage shed. L_5�Verify electrical complies to National Electric Code in cabanas. �-Provide footings, rafters, post and beams per Chapter 25 Uniform Building Code for cabanas. ..-Cabanas to be self supporting. OProvide conforming steps and 'landings. �rovide adequate glazing area for light and ventilation in mobile - home. bort- 10. Remove electrical from metal ,storage shed. �X. Obtain approval from the Environmental Health Department. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7"•C8unty Center Drive - Oroville, California 95965,- Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT �f!'d '"7�35' ASSESSOR PAR --EL NUMBER 36-291-021 ZONING M1 BUILDING PERMIT OWNER JESS BRASIER T53'HONE SO. FT. OCC. BUILDING VALUATION E 2 , 000.00 OWNERS MAILING ADDRESS 57 NELSIER PLACE OROVILLE, 95966 CONTRACTORS NAME OU11`IER TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDERS MAIUNG ADDRESS Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 29-29 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BUILDINGADDRESS 6310 LINCOLN BLVD PERMITFEE f 94.25 OROVILLE PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Y] Other CABANNA & COV. PORCH SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer –TT 15.00 TYPE OF WORK New ❑ 4dd•Ition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPAIRS PER SI #90-46 Mobile Home FG W @20.00 PERMITFEE � Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 5 OV OR LESS ( 2000A 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 li--ense 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 OCCUR OR NS. ( -ACC. BLDS. ) SO . 3.5Q FT. C NEW CONST. MULTI.OUTLET NON-RESIO. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 0 1.00 BAL .50 Ex. Occup. (oFFIXED ELETS (R ISE ISE . OR A R ) 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 300 of the Labor Code, for the performance of work for which this permit is issued. NFi workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (Tne above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I )C I 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 icathwith comply with those provisions. Date— ature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structires over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ OCC CONST. TYPE FEE 94.25 HA2. I D. FEES I IMP I FLOOD CDF PARC0. PD SUE This permit is hereby issued under of the Butte County Code and/or indicated above for which .fees have BY PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Dat (D e) Receipt No. 209447 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT rr• y C-OUNTYCF 3 -UT -TE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER �'P S 5 0 .a r a 6,c eA. P. No. Proposed Building Us 0.1%11-o16-' "--e0vel4,4G7- c Bui fding.lnspector, Date At ti:71. All items have been submitted . ..........Fmit application, I was advised the following datamust be submitted prior to permit processing and/or issuance: DATE RECENED BY �. ...�. ........... � ........... . 2. Plot plans, 3/4 sets, signed by preparer of plans:, .I......• .................. . 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 . ..............� .. y,. ; ....................... . 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. .. oB�ild 9 �spector (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 . ................... ':... N '.............. . 26. Copy of recorded deed of parcel creation and 60 right of way to apublic 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 . ...................... t. ....... . 33. 34. r issue the permit, process as follows Mail to owner. Mail to contractor. Tephone and hold for pickup at - office. Deliver with,- inspector. Other ` - Parcel Creation Acreage Applicant ` ��'�l Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of olans 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, w s advised of above required data by _ phone _mail Co ter by _ Date Plans checked by Dated !� Plans approvedrbyDate�7 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works - - 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(() NO[ ]. 2. I HAVE HAVE NOT[ ] signed an application for a building permit for the proposed ork. ' 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 SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE:—Z„2 „2 _ 41 2!Z 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 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 1� Michail 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 COUNTY, OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER D t / ` ZONING BUILDING PERMIT OWNER SS cc Siete TELEFWNt SO. FT. OCC. BUILDING VALUATION � OWNERr_T ADORE L/ ` CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ i � B -'o ARCHITECT CR ENGINEER LICENSE NO. Plan Checking Fee $ , 5 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS L PERMITFEE $ Yq, s PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBONISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 6�ti;o C ' 0AIA/Ca - z"V0 7 SPC 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 13 Describe Work: pt"", Al cr I e -S S .AA Mobile Home S G W @20.00 4 PERMITFEE $ Contractor ELECTRICAL PERMIT Flinq Fee 20:00 Main Service OOOV OR KESS ( 200A 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 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. ❑ 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 NEW CONST. DWELLING OCCUP.SO. OR ADONS. ( & ACC. BLDS. ) 3.5Q FT. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 @''50 BAL FIXED APPLNS. OR Ex. Occup. (OUTLETS (REBID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor reasonWORKERS' 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 nave 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 (rhe 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, 1 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, 1 shall forthwith comply with those provisions. X _____ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD COF PARCEL FPO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT This set of plans and specifications MUBT kept. on thajob at -01 times and it is unlav to m: _..; any dizanges-ar atteraVions on seine the i.�it sn�pEj�ion from the Department of . _Y'r of Butte. _ ON iNOTE:All Materials & Workmanship e_} Accordance with Recognized Good b sct'ce. and of a duality Prescribed for the Spectffl ;d use in the Uniform Building, plumbi=g & Mechanic&- � Codes and the National EI®etrical Code,EE � a I kLI L 3 o t U _4� X C, ZssLjj _ WaXAIw A A _ ON iNOTE:All Materials & Workmanship e_} Accordance with Recognized Good b sct'ce. and of a duality Prescribed for the Spectffl ;d use in the Uniform Building, plumbi=g & Mechanic&- � Codes and the National EI®etrical Code,EE � a I kLI L 3 o t U _4� X C, ZssLjj _ WaXAIw f3 7,0 Ic F4 o C., �, tj d LAJ f3 7,0 Ic F4 o C., �, tj d Suite ount LAND OF NATURAL WEALTH AND BEAUT',' s BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: 1916) 538-7541 FAX: 1916) 538-2140 JESS BRASIER 12/16/96 57 NELSIER PLACE OROVILLE, CA 95966 Re: BR-#:96=2735 A.P.# 036-291-021 With reference to the above subject, attached is: X] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans [ ] Other Action Required: [X] Comply With Plan Check List IJ Resubmit Plans. with Revisions As.Required [ ] Return All Original Materials and Revised Plans to the Building Department [ ] Other Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, LINDA SEXTON 4 .�': .. .. ' .. .' :.,.. .. .�' . .. �' :''� r� .r Permit Applicant: JESS BRASIER - Permit Number: - 96-2735 Anewor Pard Number: 036-291-021 Dam; 12/16/96 The• abovr referenced brvlAlbIg plans were reviewed by this o,�rc� Fm+�ide ad�ttonel informa�to>l =&or make revidons to p14M Vecificatdons and cakulations as follow: PLANS SUBMITTED ARE INSUFFICIENT FOR PLAN CHECK. PLEASE INDICATE ON YOUR PLANS: A. RAFTER SIZE B. SPACING BETWEEN POSTS AT YOUR COVERED PORCH. C.' THESE STRUCTURES MAY NOT BE ATTACHED TO THE MOBILE OTHER THAN WITH FLASHING. D. PRESSURE TREATED PADS ARE REQUIRED UNDER PIERS. .E. TYPE OF SIDING ON THE UTILITY ROOM. LINDA SEXTON If you wish to discuss any requirements, you may contact me: at (916) 538-7541 between 1:00 P.M. and 4.00 P.M., Monday through Thursday. - I 036-29.1 Q2 r ? P RMIT#96''0707y ,BRASIER;• Jess ., '..6310-'Linc'oln /Blvd.,,-- ,o'roville =Demo/Stg Cabana' . <, N t, 4 1 + t F •J%c - ST/LY-- 11,v51-?9z,:fz .. F 7-Zue? � 4 y �'• COUNTY OF BUTTE=bEPARTMENTsOF DEVELOPMENT SERVICES -BUILDING DI=VISION '7 County Center Drive '- Orovill el, Calif6rnia 95965 - Telephone (916_),-538,-1541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER A ' 'c. • �. - ZONING . - BOILDINGPERMIT OWNER i2 A, TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS - �- -_---;'' .7•rnn n >tnx_-:050411 CONTRACTOR'S NAME ,--. •. p •' TELEPHONE CONTRACTORS MAILING ADDRESS •'t 1 ,,•� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 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 $ BUILDINGADDRESS 14 ��tA� ii PERMITFEE s 35.00 PLUMBINGPERMIT Filing Fee 20.00 W�«i _ .6 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping - 15.00 USEOFSTRUCTURE `1 SF ❑ • Duplex ❑ Mobilehome ❑ Other S,4 E BLDG SPECIFY 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: DE40 Mobile Home I S I G W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20:00 -•• _ _ Main Service20ov OR LESS ( ooA OR LESS 23.00 Main Service :( 200A T6 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 4 Lic., No.. _ OWNER -BUILDER DECLARATION I 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Q 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. 4 ❑ 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 b reason. - - NEW CONST- DWELLING OCCUP. SD. DR ADON ( a ACC. BLDS. ) 3.5Q FT. NEW CONST. MULTI -OUTLET+ S NON-RESIO. ( BRANCH CIRCUITS @7.50 POWER APPARATUS ;.. (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLEToR FIXTURES ) 20 @ 1.00 BAL @ .50 - Ex—Occup. I FIX is RESID.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00' Misc. Wiring 23.00 ty PERMITFEE $ 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 Fee 20.60' Heating r 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.) M 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. F 1 , �X,��'�s`' -- Date �—'3 Sgnefure 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 CONSVYPE ,x]TOTAL FEE $ 35.()() HA2. D. FEES ►IMP I FLOOD CDF PARCEL PO HD ISSUE r 1 , 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. f - B i * 4 Date `7F y 7"�' PERMIT EXPIRES ON '`1/A77 ' (Date) Receipt No. WHITE-D.D.S.-B.D.4 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDA5354 SION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) PERMIT NO. APPLICATION AND PERMIT 0-707 ASSESSOR PARDI LNUMBER ZONING B ILDING PERMIT OWNER T'i TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILM ADDRESS P-0- BOX 235 PALERMO, 95arp CONTRACTOR': NAME ELEPHONE CONTRACTOR': MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILNG ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDIESS 6_2110 1-TINIGG-1-N BLVD PERMITFEE S 35.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ DLplex ❑ Mobilehome ❑ Other STORAGE BLDG SPECIFY 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: DFd110 Mobile Home I S I GI W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 000V OR LESS ( 2..A 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: 04 I, as owner of the property, or my employees with wages as their sole compensation, wily 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 OCCUR \ OR ADDNS. ( 8 ACC. BLDS. / SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( 8 SINGPOWER APPARATUS ) LE OUTLET CIA. Ex. Occup. (OUTLET OR FIXTURES) 20 0 I•50 BAL 0 .SO Ex. Occup. I FIXEEDrPPLNS s PES D.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 37DO of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: CE.rrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Pc1icy Number (rhe 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 nct employ any person in any manner so as to become subject to workers' ccmpensation 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 fo-thwith comply with those provisions. r __ Date - 3 � Si ure of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD 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 2 Date PERMITEXPIRESON J (ate) Receipt Mo. Z 2 WHITE-D.Q.S.- .D. A ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a 4 O.B.— I Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this -information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES(J NO[ 1. I HAVE[ HAVE NOT[ 1 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 SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: 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.-1 OtNERIII El..FPCP4rI... lit ...... ............. ........ . 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 5300 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. S. 1% , i Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This O%Nmer-Builder Information is required by Section 19830 of the California Health and Safety Code. OVER Demolition Permits; o Asbestos Notification Statement Date - AP# Pursuant to section 19827.5 -of the California Health and Safety Code, all demolition permit applicants are required to fill out this form.. "19827.5: A demolition permit shall not be -issued by any city, county, pity -and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant ,of a copy of each written asbestos notification regarding the building -that has been required to be submitted_to the United States Environmental -Protection Agency -or to -a designated state agency, or troth, pursuant to Part 61 of Title 40 of -the Code of Federal Regulations,_ or the successor to' -that part. The permit may -be issued-without-the-.,applicant.' ssued without -the applicant submitting a.copy of the written notification if the.Ap.plicant declares that -the notification is not applicable to the scheduled.demolition project. The permitting agency may require the applicant to make thedeclaration in writing, or it may incorporate the applicant's response on the demolition permit.appli- cation." Attached is a copy of my written asbestos notification to -the United States Environmental Protection Agency for the demolition project located at Signature of Applicant 6R I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. X—�Si`gnatu`reof Appicant 2/19/91 Jia TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 1'I,a Plan Attached Vdft-- I flan Atwdied _ n Sent I') \ 10 r' 06 Owner / Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well � a�yt2,ile...LioLpe. Others Hold Final for: Final clearance O.K. for: NOTE: 1 Environmental()4ealth Specialist 8/92 -AM 5hy...- date ar r F •t } « ii vv 'O�, - �,�` � �ti :. ����', �; !� i.► .� Uter. .� - �' t• � ; t t i• 1 • ® w: J'k 17— o} jn*MOON §i #f �>y svwl;. IW �4,. l §b�0#1141DWO PUD SUD •0, { 1 Ica 14 -.► ., . • 1' pit . 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Fool NG uj Cc X dJ4 -Tto - ICE FRMM G. -- CLIP- I. 2'X 12" STAIR STRINGER. 4B'o-c.. MAX. „g) 70P VIEW HALIDRAIL NOT SH M FOR CLARITY. AN r -W 130LT GIRDER MOBIL OR D 4to" MAX.MTL. FRMUCLIP (EIN. 4"X4' POST= 2°x 12" i2DF_ (2) 9!11 BOLTS MIT — 4'9 9" POST — AUF(?uATF DIAGONAL. X �O 2'x4" PRESSURE R PFD WOOD ri.�7F -T YPI CAI <h'�' ;S P ' Nl/%.`' .� l%`' a� COU�N Y G B TT -V DEPARTMENT OF PUBLIC WORKS 7ounty Center Drive — Oroville. California 95965 Telephone: S'AR-7SG1